Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013174218 Individual Practitioner Female Practitioner

Dr. Khadidja Latise Harrell , MD

Pediatrics • Joint Base Lewis Mcchord, WA

Professional Overview & Biography Verified Profile Summary

Dr. Khadidja Harrell, MD is a registered healthcare professional specializing in Pediatrics in Joint Base Lewis Mcchord, WA. Practice services are available at 690 BARNES BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

690 Barnes Blvd

Joint Base Lewis Mcchord, WA 984381303

Telephone 2539825688
Associated Practice Facility / Clinic
🏢 Amc Madigan-Ft Lewis Facility NPI 1700048972

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Joint Base Lewis Mcchord, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.8 Yrs
Regional Practice Density
6 Specialists

Practicing in Joint Base Lewis Mcchord, WA (1802 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: 2026-02-02
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WA 60935910

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Dr. John Andrus , MD, MPH

Preventive Medicine - Aerospace Medicine

NPI 1205813284

Doctor of Medicine (M.D.), Master of Public Health

Dr. Sean Mallon , DO

Family Medicine

NPI 1679921753

Doctor of Osteopathic Medicine (D.O.)

Daniel Miller , IDMT

Military Health Care Provider - Independent Duty Medical Technicians

NPI 1699072199
Dr. Andrew Reichert , DDS

Dentist - General Practice

NPI 1760991244

Doctor of Dental Surgery

NPI 1790760395

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location February 02, 2026

Registered at 690 BARNES BLVD, JOINT BASE LEWIS MCCHORD, WA 984381303 (Tel: 2539825688)

📍
Updated Business Mailing Address February 02, 2026

Registered at 505 BROADWAY UNIT 700, TACOMA, WA 984023997 (Tel: 8087457109)

📍
Updated Practice Location November 18, 2019

Registered at 4800 SAND POINT WAY NE, SEATTLE, WA 981053901 (Tel: 2069872000)

📍
Updated Business Mailing Address November 18, 2019

Registered at 1255 HARRISON ST APT 658, SEATTLE, WA 981096024 (Tel: 8087457109)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2019

Pediatrics (License #60935910 in WA)

NPI Profile Active May 16, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 16, 2008

Registered at 2200 BERGQUIST DR, SUITE 1, LACKLAND A F B, TX 782369907 (Tel: 2102925188)

📍
Updated Business Mailing Address May 16, 2008

Registered at 2200 BERGQUIST DR, SUITE 1, LACKLAND A F B, TX 782369907 (Tel: 2102925188)

👤
Provider Name / Credentials Updated May 16, 2008

Recorded as KHADIDJA HARRELL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2008

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 16, 2008

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: 1013174218
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2008
Last Update: February 02, 2026
Sole Proprietor: No

Mailing Address

505 Broadway Unit 700

Tacoma, WA 984023997

Phone: 8087457109

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.