Healthcare Provider Details

I. General information

NPI: 1083972996
Provider Name (Legal Business Name): STEPPING STONE PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2012
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15410 NE 24TH STREET SUITE A
BELLEVUE WA
98008
US

IV. Provider business mailing address

15410 NE 24TH STREET SUITE A
BELLEVUE WA
98008
US

V. Phone/Fax

Practice location:
  • Phone: 425-941-9540
  • Fax: 425-502-6229
Mailing address:
  • Phone: 425-941-9540
  • Fax: 425-502-6229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberAP60228488
License Number StateWA

VIII. Authorized Official

Name: AMY ADKINS-DWIVEDI
Title or Position: NURSE PRACTITIONER
Credential: NP
Phone: 513-257-5380