Active NPI
Daniel Nicoara, DO
- Obstetrics Physician
- Yakima, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- OP61408148
- Practice address
- 2205 W Lincoln Ave
Yakima, WA 98902-2437 - Phone
- (509) 469-6305
- Fax
- (509) 575-3398
- NPI assigned
- Apr 11, 2019
- Last updated
- May 24, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Obstetrics Physician | 207VX0000X | OP61408148 | WA | Primary |
Addresses
Primary practice location
2205 W Lincoln Ave
Yakima, WA 98902-2437
Mailing address
2205 W Lincoln Ave
Yakima, WA 98902-2437
Phone (509) 469-6305
Other practice location 1
5900 Byron Center Ave SW
Wyoming, MI 49519-9606
Phone (616) 252-7200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2205 W Lincoln Ave
Yakima, WA 98902-2437
Phone (509) 469-6305
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP61408148 | WA | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yakima Valley Farm Workers Clinic | Current | Accepting new patients | |
| Yakima Valley Farm Workers Clinic | Current | Accepting new patients | |
| Yakima Valley Farm Workers Clinic | Current | Accepting new patients | |
| Yakima Valley Memorial Hospital Association | Past | Accepting new patients |
Locations
713 Memorial St
Prosser, WA 99350
Phone (509) 786-1931
2205 W Lincoln Ave
Yakima, WA 98902
Phone (509) 469-6305
314 S 11th Ave
Ste A
Yakima, WA 98902
Phone (509) 575-0114
3801 Kern Rd
Yakima, WA 98902
Phone (509) 574-3200
Interoperability endpoints
- dnicoara1723413@direct.trinity-health.org
- dnicoara41750@yvfwc.direct-ci.com
- https://fhir-myrecord.cerner.com/r4/ef853cc1-94e4-4ed7-883a-9be7485e458e/
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Behavioral Health Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Yakima, WA
- NPI 1295788602
-
dba Mid-Valley Family Medicine
- Federally Qualified Health Center (FQHC)
- Wapato, WA
- NPI 1740459833
-
dba Community Health Center of Clatskanie
- Federally Qualified Health Center (FQHC)
- Clatskanie, OR
- NPI 1578000345
-
dba MultiCare Yakima Memorial Hospital
- General Acute Care Hospital
- Yakima, WA
- NPI 1053373480
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MultiCare Yakima Memorial Hospital
- General Acute Care Hospital
- Yakima, WA
- NPI 1053373480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1093278426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2205 W LINCOLN AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989022437",
"telephone_number": "509-469-6305",
"fax_number": "509-575-3398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 W LINCOLN AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989022437",
"telephone_number": "509-469-6305",
"fax_number": "509-575-3398"
}
],
"practiceLocations": [
{
"address_1": "5900 Byron Center Ave SW",
"address_purpose": "LOCATION",
"city": "Wyoming",
"state": "MI",
"postal_code": "495199606",
"country_code": "US",
"telephone_number": "616-252-7200",
"fax_number": "616-252-4953",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICOARA",
"first_name": "DANIEL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-11",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "WA",
"license": "OP61408148",
"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 May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.