Individual provider Active NPI

Yamileth R Cazorla-Lancaster, DO

  • Pediatrics Physician
  • Yakima, WA
National Provider Identifier
1154530236
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
OP60077117 Issued in WA
Practice address
1111 N 35TH Ave Ste 120
Yakima, WA 98902-1622
Phone
(509) 969-6214
Fax
(509) 420-9357
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X OP60077117 WA Primary

Addresses

Primary practice location

1111 N 35TH Ave Ste 120
Yakima, WA 98902-1622

Mailing address

1111 N 35TH Ave Ste 120
Yakima, WA 98902-1622
Phone (509) 969-6214

Other identifiers 2

IdentifierTypeStateIssuer
0254646OtherWALABOR & INDUSTRIES
8543951MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 21, 2025 through Jul 21, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OP60077117WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nourish Wellness PLLC Pediatrics PastSince Dec 15, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15698/brand/1/csg/1/fhir/r4

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1154530236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N 35TH AVE STE 120",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989021622",
            "telephone_number": "509-969-6214",
            "fax_number": "509-420-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N 35TH AVE STE 120",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989021622",
            "telephone_number": "509-969-6214",
            "fax_number": "509-420-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAZORLA-LANCASTER",
        "first_name": "YAMILETH",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "OP60077117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0254646",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8543951",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.