Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lily Tadayyon Kregenow, MD

Individual provider Pediatrics Physician · NPI 1992766117

Lily Tadayyon Kregenow, MD is a Pediatric Medicine in Tacoma, Washington. Qualified in 1999, 27 years ago. Practices with Mendocino Coast Clinics, Inc, a 20-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
27
Licensed in
WA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

316 Martin Luther King Jr Way 212
Tacoma, WA 98405-4252
Phone: (253) 383-5777
Fax: (253) 627-0855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD00048510 (WA)

Record details

NPI number1992766117
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2006
Last updated in NPPESSeptember 21, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Mendocino Coast Clinics, Inc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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