Individual provider Active NPI

Irma Villalvazo, ARNP

  • Family Nurse Practitioner
  • Sunnyside, WA
National Provider Identifier
1205147378
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61617075 Issued in WA
Practice address
803 E Lincoln Ave
Sunnyside, WA 98944-2383
Phone
(509) 837-6911
Fax
(509) 837-6920
NPI assigned
Jun 23, 2010
Last updated
Mar 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61617075 WA Primary

Addresses

Primary practice location

803 E Lincoln Ave
Sunnyside, WA 98944-2383

Mailing address

PO Box 719
Sunnyside, WA 98944-0719

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
I20250408003925 WA Practitioner - Nurse Practitioner 9739603077 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

803 E Lincoln Ave
Sunnyside, WA 98944-2383
Phone (509) 837-6911

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SHC Medical Center Toppenish CurrentSince Mar 1, 2025 Accepting new patients
Sunnyside Community Hospital Association CurrentSince Mar 1, 2025 Accepting new patients
SHC Medical Center Toppenish CurrentSince Mar 1, 2025 Accepting new patients
Sunnyside Community Hospital Association Family CurrentSince Mar 1, 2025 Accepting new patients
Sunnyside Community Hospital Association Current Accepting new patients
SHC Medical Center Toppenish Current Accepting new patients
Sunnyside Community Hospital Association Past Accepting new patients

Locations

355 Chardonnay Ave
Prosser, WA 99350
Phone (509) 781-6366

1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682

2705 E Lincoln Ave
Sunnyside, WA 98944
Phone (509) 836-4848

2925 Allen Rd
Sunnyside, WA 98944
Phone (509) 837-4949

803 E Lincoln Ave
Sunnyside, WA 98944
Phone (509) 837-3933

502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000

516 W 4th Ave
Toppenish, WA 98948
Phone (509) 865-1555

Organizations & group practices 7

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

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": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1205147378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 719",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989440719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 E LINCOLN AVE",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989442383",
            "telephone_number": "509-837-6911",
            "fax_number": "509-837-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALVAZO",
        "first_name": "IRMA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61617075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyside, WA

Sources for this page

Verify at the official NPI Registry.