Active NPI
Yakima Hma Physician Management, LLC
- Registered Dietitian
- Yakima, WA
National Provider Identifier
1184054967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI00001696
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 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 DirectoryInteroperability endpoints
- 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.