NPIMap

Organization Active NPI

Yakama Indian Health Service

  • Optometrist
  • Toppenish, WA
National Provider Identifier
1376681452
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
YAKAMA INDIAN HEALTH SERVICE
Practice address
401 Buster Rd
Toppenish, WA 98948-9792
Phone
(509) 865-2102
Fax
(509) 865-2102
NPI assigned
Feb 2, 2007
Organization subpart
Yes
Parent organization
YAKAMA INDIAN HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Ms. Dawn M. Halver, R.N.
Title
Chief Executive Officer
Phone
(509) 865-2102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

401 Buster Rd
Toppenish, WA 98948-9792

Mailing address

401 Buster Rd
Toppenish, WA 98948-9792
Phone (509) 865-2102

Other identifiers 4

IdentifierTypeStateIssuer
51239OtherWALABOR & INDUSTRY RX #
4926311OtherWANATL ASSN BD PHARM
21940OtherWALABOR & INDUSTRY MED #
7100506MedicaidWA

Other names 1

  • DHHS IHS Yakama Service Unit Other name

National Provider Directory

National Provider Directory
Tax ID family
Yakama Indian Health Center Pharmacy9 organizations share this tax ID, including this one
Part of
Yakama Indian Health Center Pharmacy

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1376681452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BUSTER RD",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989489792",
            "telephone_number": "509-865-2102",
            "fax_number": "509-865-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BUSTER RD",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989489792",
            "telephone_number": "509-865-2102",
            "fax_number": "509-865-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKAMA INDIAN HEALTH SERVICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YAKAMA INDIAN HEALTH CENTER",
        "enumeration_date": "2007-02-02",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HALVER",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "509-865-2102",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRY RX #",
            "identifier": "51239",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATL ASSN BD PHARM",
            "identifier": "4926311",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRY MED #",
            "identifier": "21940",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100506",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DHHS IHS Yakama Service Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Toppenish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.