NPIMap

Organization Active NPI

Confederated Tribes and Bands of the Yakama Nation

  • Audiologist
  • Toppenish, WA
National Provider Identifier
1023200292
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
CONFEDERATED TRIBES AND BANDS OF THE YAKAMA NATION
Practice address
401 Buster Road
Toppenish, WA 98948
Phone
(509) 874-2979
Fax
(509) 874-2113
NPI assigned
Aug 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Ellen M Swan
Title
Program Manager
Phone
(509) 874-2979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

401 Buster Road
Toppenish, WA 98948

Mailing address

401 Ford Road
Toppenish, WA 98948
Phone (509) 865-5121

Other identifiers 1

IdentifierTypeStateIssuer
7123243MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Confederated Tribes and Bands of the Yakama Nation10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1023200292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 FORD ROAD",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "98948",
            "telephone_number": "509-865-5121",
            "fax_number": "509-874-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BUSTER ROAD",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "98948",
            "telephone_number": "509-874-2979",
            "fax_number": "509-874-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFEDERATED TRIBES AND BANDS OF THE YAKAMA NATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "SWAN",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "509-874-2979"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7123243",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toppenish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.