Individual provider Active NPI

Daniel Richmond

  • Physician Assistant
  • Yakima, WA
National Provider Identifier
1164762621
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60340765 Issued in WA
Practice address
314 S 11TH Ave Ste a
Yakima, WA 98902-3212
Phone
(509) 902-8585
Fax
(509) 902-8030
NPI assigned
Feb 20, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA60340765 WA
Physician Assistant 363A00000X PA60340765 WA Primary

Addresses

Primary practice location

314 S 11TH Ave Ste a
Yakima, WA 98902-3212

Mailing address

314 S 11TH Ave Ste a
Yakima, WA 98902-3212
Phone (509) 902-8585

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drichmond4899@yvfwc.direct-ci.com Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130422000122 WA Practitioner - Physician Assistant 4981840808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yakima Valley Farm Workers ClinicGroup PAC ID 4385541986, 274 clinicians

Practice addresses (Care Compare)

314 S 11TH Ave
Suite a
Yakima, WA 98902-3212
Phone (509) 902-8585

3801 Kern Way
Yakima, WA 98902-6340
Phone (509) 574-3200

602 E Nob Hill Blvd
Yakima, WA 98901-3534
Phone (509) 248-3334

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA60340765WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Yakima Valley Farm Workers Clinic CurrentSince Mar 15, 2013 Accepting new patients

Locations

713 Memorial St
Prosser, WA 99350
Phone (509) 786-1931

314 S 11th Ave
Ste A
Yakima, WA 98902
Phone (509) 575-0114

602 E Nob Hill Blvd
Yakima, WA 98901
Phone (509) 248-3334

3801 Kern Rd
Yakima, WA 98902
Phone (509) 574-3200

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1164762621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 S 11TH AVE STE A",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023212",
            "telephone_number": "509-902-8585",
            "fax_number": "509-902-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 S 11TH AVE STE A",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023212",
            "telephone_number": "509-902-8585",
            "fax_number": "509-902-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-20",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA60340765",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60340765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drichmond4899@yvfwc.direct-ci.com",
            "affiliation": "N",
            "endpointDescription": "YVFWC Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "314 S 11th Ave Ste A",
            "city": "Yakima",
            "state": "WA",
            "country_code": "US",
            "postal_code": "989023212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.