Active NPI
Washington Neuro Diagnostic'S Inc
- Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
- Yakima, WA
National Provider Identifier
1215145115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0210400 | Other | WA | PROVIDER DEPT OF LNI |
National Provider Directory
National Provider DirectoryNPI 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.