Organization Active NPI

Washington Neuro Diagnostic'S Inc

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • Yakima, WA
National Provider Identifier
1215145115
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081H0002X
Legal business name
WASHINGTON NEURO DIAGNOSTIC'S INC
Practice address
409 S 12TH Ave
Yakima, WA 98902-3140
Phone
(818) 425-7374
Fax
(818) 762-0968
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Heather Ferman
Title
Executive Director
Phone
(818) 425-7374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081H0002X WA Primary

Addresses

Primary practice location

409 S 12TH Ave
Yakima, WA 98902-3140

Mailing address

11109 Hartsook St
N Hollywood, CA 91601-3830
Phone (818) 425-7374

Other identifiers 1

IdentifierTypeStateIssuer
0210400OtherWAPROVIDER DEPT OF LNI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215145115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11109 HARTSOOK ST",
            "city": "N HOLLYWOOD",
            "state": "CA",
            "postal_code": "916013830",
            "telephone_number": "818-425-7374",
            "fax_number": "818-762-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 S 12TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023140",
            "telephone_number": "818-425-7374",
            "fax_number": "818-762-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON NEURO DIAGNOSTIC'S INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERMAN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "818-425-7374",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2081H0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER DEPT OF LNI",
            "identifier": "0210400",
            "state": "WA"
        }
    ],
    "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 Aug 22, 2020; 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.