NPIMap

Organization Active NPI

Desert Sky Womens Healthcare Inc

  • Obstetrics & Gynecology Physician
  • Kennewick, WA
National Provider Identifier
1114383924
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
DESERT SKY WOMENS HEALTHCARE INC
Practice address
919 S Auburn St
Suite a
Kennewick, WA 99336-5662
Phone
(509) 491-3889
Fax
(509) 491-3649
NPI assigned
Jan 8, 2016
Last updated
Mar 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Authorized official

Name
Bonnie Gill, CCC
Title
Office Manager
Phone
(509) 491-3889

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X
Midwife 176B00000X
Obstetrics & Gynecology Physician 207V00000X Primary

Addresses

Primary practice location

919 S Auburn St
Suite a
Kennewick, WA 99336-5662

Mailing address

PO Box 6918
Kennewick, WA 99336-0602
Phone (509) 491-3889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160311002149 WA Part B Supplier - Clinic/Group Practice 0244536514 Receives reassigned benefits from 6 practitioners
Practice locations: Kennewick, WA

National Provider Directory

National Provider Directory

Locations

919 S Auburn St
#A
Kennewick, WA 99336
Phone (509) 491-3889

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1114383924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6918",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993360602",
            "telephone_number": "509-491-3889",
            "fax_number": "509-491-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 S AUBURN ST",
            "address_2": "SUITE A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365662",
            "telephone_number": "509-491-3889",
            "fax_number": "509-491-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT SKY WOMENS HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-08",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-491-3889",
        "authorized_official_credential": "CCC"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.