Organization Active NPI

Yakima Hma Physician Management, LLC

  • Registered Dietitian
  • Yakima, WA
National Provider Identifier
1184054967
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI00001696 Issued in WA
Legal business name
YAKIMA HMA PHYSICIAN MANAGEMENT, LLC
Practice address
111 S 11TH Ave
Ste 321
Yakima, WA 98902-3242
Phone
(509) 577-4600
Fax
(509) 577-4603
NPI assigned
Nov 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Authorized official

Name
Yllolanda Esqueda
Title
Credentialing Specialist
Phone
(509) 574-4455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X DI00001696 WA Primary

Addresses

Primary practice location

111 S 11TH Ave
Ste 321
Yakima, WA 98902-3242

Mailing address

732 Summitview Ave
#621
Yakima, WA 98902-3032
Phone (509) 574-4455

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4690/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1184054967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 SUMMITVIEW AVE",
            "address_2": "#621",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023032",
            "telephone_number": "509-574-4455",
            "fax_number": "509-574-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 11TH AVE",
            "address_2": "STE 321",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023242",
            "telephone_number": "509-577-4600",
            "fax_number": "509-577-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKIMA HMA PHYSICIAN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "ESQUEDA",
        "authorized_official_first_name": "YLLOLANDA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "509-574-4455"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI00001696",
            "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 Nov 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.