Active NPI 1821964461 Individual Practitioner Female Practitioner

Nicole Pedroso , LPN

General Practice • Airway Heights, WA

Professional Overview & Biography Verified Profile Summary

Nicole Pedroso, LPN is a registered healthcare professional specializing in General Practice in Airway Heights, WA. Practice services are available at 10811 W 6TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10811 W 6th Ave

Airway Heights, WA 990015345

Telephone 5094814990

Associated Practice Facility / Clinic

🏢 Kalispel Tribe Of Indians Facility NPI 1144118803

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Airway Heights, WA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 30.0 Yrs

Regional Practice Density

5 Specialists

Practicing in Airway Heights, WA (423 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-12

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CO 338756

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners

Nina Lewis , LP61420919

General Practice

NPI 1134926033

Devin Walker , LPN

Licensed Practical Nurse

NPI 1164253498

Licensed Practical Nurse

Micah Bell , LPN

Licensed Practical Nurse

NPI 1164387916

Licensed Practical Nurse

Jill Rude

Registered Nurse

NPI 1427847631

Erin Walsh , RN

General Practice

NPI 1538971486

Registered Nurse

Stephanie Wheeler , LPN

Licensed Practical Nurse

NPI 1629900261

Licensed Practical Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 13, 2025

NPI status registered as active in NPPES database

📍

Updated Practice Location October 13, 2025

Registered at 10811 W 6TH AVE, AIRWAY HEIGHTS, WA 990015345 (Tel: 5094814990)

📍

Updated Business Mailing Address October 13, 2025

Registered at 1887 WHITNEY MESA DR # 8844, HENDERSON, NV 890142069

👤

Provider Name / Credentials Updated October 13, 2025

Recorded as NICOLE PEDROSO, LPN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2025

General Practice (License #338756 in CO)

🟢

Initial NPI Registration & Enumeration October 13, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821964461

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 13, 2025

Last Update: October 13, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1887 Whitney Mesa Dr # 8844

Henderson, NV 890142069

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.