Active NPI
Valley Respiratory and Home Supply
- Durable Medical Equipment & Medical Supplies
- Yakima, WA
National Provider Identifier
1053828079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- VALLEY RESPIRATORY AND HOME SUPPLY
- Practice address
- 320 Stanley Blvd
Yakima, WA 98902-3753 - Phone
- (509) 941-5191
- Fax
- (509) 834-7414
- NPI assigned
- Dec 29, 2017
- Organization subpart
- Yes
- Parent organization
- MICKELSON CONSULTING
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erik David Mickelson
- Title
- Owner
- Phone
- (509) 941-5191
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X |
Addresses
Primary practice location
320 Stanley Blvd
Yakima, WA 98902-3753
Mailing address
818 N 24TH Ave
Yakima, WA 98902-1703
Phone (509) 895-5415
National Provider Directory
National Provider Directory- Part of
- Valley Respiratory and Home Supply
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675728000000",
"number": "1053828079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 N 24TH AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989021703",
"telephone_number": "509-895-5415",
"fax_number": "509-834-7414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 STANLEY BLVD",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023753",
"telephone_number": "509-941-5191",
"fax_number": "509-834-7414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY RESPIRATORY AND HOME SUPPLY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MICKELSON CONSULTING",
"enumeration_date": "2017-12-29",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A",
"authorized_official_last_name": "MICKELSON",
"authorized_official_first_name": "ERIK",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "509-941-5191"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
}
],
"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 Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.