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NPI 1881900900
● Active Type 2 · Organization
Providence Health & Services - Washington
Internal Medicine · Plummer, ID · NPI 1881900900
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Enumerated 2010 · 15 years on NPI
Providence Health & Services - Washington is 1 of 100 internal medicine organizations in Idaho.
NPI age
15 years
Enumerated 2010-08-26
Primary specialty
Internal Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Anderson
Assistant Secretary Of Enrollments
Last NPPES update
2025-08-01
Source: monthly bulk 2026-05
How this organization compares
Across 100 active internal medicine providers in Idaho.
NPI age
15 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2010 → 2026
2010-08 Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
1115 B Street
Plummer, ID 838510000
📞 2086861931
Mailing address
122 W 7th Ave
Spokane, WA 992042349
📞 5098387711
Authorized official
Donald Wayne Anderson
Assistant Secretary Of Enrollments
📞 4253589786
Individual providers at this organization
13 individual providers on file at this primary practice address.
Lovinia Alexander , CDC
Counselor
NPI 1528326519
Frank Allen , DMD
Dentist
NPI 1235125998
Mary Barinaga , MD
Family Medicine
NPI 1801882881
Susan Bates , RN
Registered Nurse
NPI 1417947318
Terry Hale , DDS
Dentist
NPI 1700875093
Darcy Humphrey , RN
Registered Nurse
NPI 1528058427
David Ingebritsen , PHD LCPC
Counselor
NPI 1538158829
Kimberley Legaspi , RDH
Dental Hygienist
NPI 1225244551
Kristi Mathistad , CADC
Counselor
NPI 1568739548
David Ochoa , RADIOGRAPHER REG EL
Radiologic Technologist
NPI 1558457721
Michele Ott
Dental Assistant
NPI 1942297924
Carla Patterson , RD
Dietitian, Registered
NPI 1871713198
Justin Smiley , MSW
Social Worker
NPI 1053392910
Specialties
Internal Medicine
Primary
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
taxonomy 207RC0000X
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
13 individual providers on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.