NPIMap

Organization Active NPI

Nourish Wellness PLLC

  • Pediatrics Physician
  • Yakima, WA
National Provider Identifier
1003321480
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
OP60077117 Issued in WA
Legal business name
NOURISH WELLNESS PLLC
Practice address
3105 Summitview Ave Ste C
Yakima, WA 98902-2310
Phone
(509) 969-6214
Fax
(888) 565-2493
NPI assigned
Dec 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2017

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

Authorized official

Name
Yamileth Cazorla-LancasterNPI 1154530236
Title
DO
Phone
(509) 969-4106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X OP60077117 WA Primary

Addresses

Primary practice location

3105 Summitview Ave Ste C
Yakima, WA 98902-2310

Mailing address

PO Box 20968
Belfast, ME 04915-4106
Phone (509) 969-6214

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15698/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512604800000",
    "number": "1003321480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20968",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154106",
            "telephone_number": "509-969-6214",
            "fax_number": "888-565-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 SUMMITVIEW AVE STE C",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989022310",
            "telephone_number": "509-969-6214",
            "fax_number": "888-565-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISH WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-07",
        "status": "A",
        "authorized_official_last_name": "CAZORLA-LANCASTER",
        "authorized_official_first_name": "YAMILETH",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "509-969-4106"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "OP60077117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.