Ellensburg Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ELLENSBURG FAMILY MEDICINE

Practice address

100 W 3Rd Ave # a
Ellensburg, WA 98926-3354

Phone

(509) 388-2345

NPI assigned

Sep 26, 2022

Organization subpart

No

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

Authorized official

Name

Tami Izzi, RN

Title

Owner

Phone

(509) 388-2345

Specialties & licenses 1

Addresses

Other names 1

• CompassDirect Healthcare Doing business as

Locations

Practitioners 1

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

• Zachary Lee Deffinbaugh, FNP

  • Family Nurse Practitioner
  • Ellensburg, WA
  • NPI 1073005443
  NPD

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1043933831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W 3RD AVE # A",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263354",
            "telephone_number": "509-388-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W 3RD AVE # A",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263354",
            "telephone_number": "509-388-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLENSBURG FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "IZZI",
        "authorized_official_first_name": "TAMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-388-2345",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CompassDirect Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ellensburg Chiropractic
• Ellensburg Chiropractic,PS
• Ellensburg Counseling Services PLLC
• Ellensburg Downtown Pharmacy Inc
• Ellensburg Eye and Contact Lens Clinic
• Ellensburg Integrative Medicine PLLC
• Ellensburg Pediatrics PLLC
• Ellensburg Physical Therapy Center Inc
• Ellensburg School District
• Ellensburg Sport and Spine, LLC

• Family Medicine Physician in Ellensburg, WA
• Providers in Ellensburg, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.