Active NPI
Jessica Di Nizio, D.O.
- Family Medicine Physician
- Yakima, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 60784868
- Practice address
- 1300 N 1St St
Yakima, WA 98901 - Phone
- (509) 248-4510
- NPI assigned
- Apr 2, 2008
- Last updated
- Feb 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2021029615 | MO | |
| Family Medicine Physician | 207Q00000X | 005296 | AZ | |
| Family Medicine Physician | 207Q00000X | 60784868 | WA | Primary |
Addresses
Primary practice location
1300 N 1St St
Yakima, WA 98901
Mailing address
1101 Saint Hilaire Rd
Yakima, WA 98901-7900
Other practice location 1
216 W 10th Ave Ste 204
Kennewick, WA 99336-6304
Phone (509) 221-5520
Other practice location 2
348 S Main St
Suite 1A
Camp Verde, AZ 86322-7155
Phone (928) 649-6477
Other practice location 3
1806 W Lincoln Ave
Yakima, WA 98902-2473
Phone (509) 452-4520
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2096345 | Medicaid | WA | |
| 509956 | Medicaid | AZ | |
| Z133563 | Other | AZ | MEDICARE PTAN |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Temple University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1806 W Lincoln Ave
Yakima, WA 98902-2473
Phone (509) 452-4520
501 S 5TH Ave
Yakima, WA 98902-3550
521 E Mountain View Ave
Ellensburg, WA 98926-3865
Phone (509) 962-1414
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005296 | AZ | MD | Family Medicine Physician |
| 2021029615 | MO | MD | Family Medicine Physician |
| 60784868 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health of Central Washington | Family Medicine | Current | Accepting new patients |
| Community Health of Central Washington | Current | Accepting new patients | |
| RCCH Trios Health LLC | Family Medicine | Current | Accepting new patients |
| Community Health of Central Washington | Past | Accepting new patients | |
| Oracle Healthcare | Family Medicine | Past | Accepting new patients |
| Community Health of Central Washington | Family Medicine | Past | Accepting new patients |
| Union Gospel Mission of Yakima Wash | Past | Accepting new patients |
Locations
521 E Mountain View Ave
Ellensburg, WA 98926
Phone (509) 962-1414
216 W 10th Ave
Ste 204
Kennewick, WA 99336
Phone (509) 221-5520
1806 W Lincoln Ave
Yakima, WA 98902
Phone (509) 452-4520
402 S 12th Ave
Yakima, WA 98902
Phone (509) 248-3263
402 S 12th Ave
Bsmt
Yakima, WA 98902
402 S 12th Ave
Ste A
Yakima, WA 98902
501 S 5th Ave
Yakima, WA 98902
Phone (509) 494-6700
Interoperability endpoints
- jdinizio614769@direct.ochin.org
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.
-
- Federally Qualified Health Center (FQHC)
- Yakima, WA
- NPI 1598764920
Family Medicine
-
dba Highland Clinic
- Federally Qualified Health Center (FQHC)
- Tieton, WA
- NPI 1700255874
-
dba Yakima Pediatrics
- Pediatrics Physician
- Yakima, WA
- NPI 1154533222
-
dba Central Washington Family Medicine
- Federally Qualified Health Center (FQHC)
- Yakima, WA
- NPI 1700097706
Family Medicine
-
dba Care Center Dental
- General Practice Physician
- Yakima, WA
- NPI 1932530540
-
- Family Medicine Physician
- Camp Verde, AZ
- NPI 1396900122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675728000000",
"number": "1346412079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 SAINT HILAIRE RD",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989017900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N 1ST ST",
"city": "YAKIMA",
"state": "WA",
"postal_code": "98901",
"telephone_number": "509-248-4510"
}
],
"practiceLocations": [
{
"address_1": "216 W 10th Ave Ste 204",
"address_purpose": "LOCATION",
"city": "Kennewick",
"state": "WA",
"postal_code": "993366304",
"country_code": "US",
"telephone_number": "509-221-5520",
"fax_number": "509-221-5521",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "348 S Main St",
"address_2": "Suite 1A",
"address_purpose": "LOCATION",
"city": "Camp Verde",
"state": "AZ",
"postal_code": "863227155",
"country_code": "US",
"telephone_number": "928-649-6477",
"fax_number": "928-567-7172",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1806 W Lincoln Ave",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989022473",
"country_code": "US",
"telephone_number": "509-452-4520",
"fax_number": "509-452-5224",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DI NIZIO",
"first_name": "JESSICA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-02",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2021029615",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "005296",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "60784868",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2096345",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "509956",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "Z133563",
"state": "AZ"
}
],
"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 Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.