Organization Active NPI

Planned Parenthood of Greater Washington & North Idaho

  • Family Medicine Physician
  • Ellensburg, WA
National Provider Identifier
1003061920
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PLANNED PARENTHOOD OF GREATER WASHINGTON & NORTH IDAHO
Practice address
613 N Pine St
Ellensburg, WA 98926-3121
Phone
(866) 904-7721
Fax
(509) 248-3644
NPI assigned
Nov 19, 2008
Organization subpart
Yes
Parent organization
PLANNED PARENTHOOD OF GREATER WASHINGTON & NORTH IDAHOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Kim A. Nelson
Title
VP of Finance
Phone
(866) 904-7721

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X WA Primary
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X
Ambulatory Family Planning Facility 261QA0005X
Multi-Specialty Clinic/Center 261QM1300X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

613 N Pine St
Ellensburg, WA 98926-3121

Mailing address

1117 Tieton Dr
Yakima, WA 98902-3835
Phone (866) 904-7721

Other names 1

  • PPGWNI Ellensburg Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Planned Parenthood of C19 organizations share this tax ID, including this one
Part of
Planned Parenthood of C

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

312 N Pine St
Ellensburg, WA 98926

920 W Ivy Ave
Moses Lake, WA 98837
Phone (509) 207-3017

3901 W Court St
Pasco, WA 99301
Phone (509) 473-0305

123 E Indiana Ave
Spokane, WA 99207
Phone (866) 907-7721

2934 Covey Ln
Sunnyside, WA 98944

609 Okanogan Ave
Wenatchee, WA 98801

208 N 3rd Ave
Unit 100
Yakima, WA 98902

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1003061920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 TIETON DR",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023835",
            "telephone_number": "866-904-7721",
            "fax_number": "509-576-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 N PINE ST",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263121",
            "telephone_number": "866-904-7721",
            "fax_number": "509-248-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD OF GREATER WASHINGTON & NORTH IDAHO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLANNED PARENTHOOD OF GREATER WASHINGTON & NORTH IDAHO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "866-904-7721",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": null,
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PPGWNI Ellensburg Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellensburg, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.