Individual provider Active NPI

Njui Tabi Ngwi Tanyi, NURSE PRACTITIONER

  • Primary Care Nurse Practitioner
  • Yakima, WA
National Provider Identifier
1114780723
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
61506444 Issued in WA
Practice address
409 S 12TH Ave
Yakima, WA 98902-3114
Phone
(509) 575-2949
NPI assigned
Feb 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 61506444 WA Primary
Primary Care Nurse Practitioner 363LP2300X 1106827 TX
Primary Care Nurse Practitioner 363LP2300X 10605 MN

Addresses

Primary practice location

409 S 12TH Ave
Yakima, WA 98902-3114

Mailing address

2502 Woolsey Rd Apt a
Yakima, WA 98903-5810
Phone (647) 885-9207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10605MNMDPrimary Care Nurse Practitioner
1106827TXMDPrimary Care Nurse Practitioner
61506444WAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Immediate Care & Medical Centers, P.S. CurrentSince Aug 12, 2024 Accepting new patients

Locations

600 Jefferson St
Ste 600
Lafayette, LA 70501
Phone (337) 202-0720

1225 SE Commercial Dr
College Place, WA 99324
Phone (509) 516-1101

1516 Jadwin Ave
Richland, WA 99354
Phone (509) 946-1695

4001 Tieton Dr
Yakima, WA 98908
Phone (509) 410-0746

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1114780723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 WOOLSEY RD APT A",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989035810",
            "telephone_number": "647-885-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 S 12TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023114",
            "telephone_number": "509-575-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGWI TANYI",
        "first_name": "NJUI TABI",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "61506444",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1106827",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MN",
            "license": "10605",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.