Organization Active NPI

Complete Healthcare for Women PLLC

  • Obstetrics & Gynecology Physician
  • Richland, WA
National Provider Identifier
1477837771
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OP60104325 Issued in WA
Legal business name
COMPLETE HEALTHCARE FOR WOMEN PLLC
Practice address
1045 Jadwin Ave
Richland, WA 99352-3405
Phone
(509) 392-6700
Fax
(509) 392-6699
NPI assigned
Oct 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Authorized official

Name
Dr. Richard Carmen Lorenzo Jr., D.O.NPI 1285747873
Title
Owner
Phone
(509) 392-6700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X OP60104325 WA Primary

Addresses

Primary practice location

1045 Jadwin Ave
Richland, WA 99352-3405

Mailing address

1045 Jadwin Ave
Richland, WA 99352-3405
Phone (509) 392-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111026000852 WA Part B Supplier - Clinic/Group Practice 2264605872 Receives reassigned benefits from 2 practitioners
Practice locations: Richland, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2033385Complete Healthcare for Women1045 Jadwin Ave, Richland, WA 99352ComplianceApr 4, 2028

National Provider Directory

National Provider Directory

Locations

1045 Jadwin Ave
Richland, WA 99352
Phone (509) 392-6700

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1477837771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 JADWIN AVE",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523405",
            "telephone_number": "509-392-6700",
            "fax_number": "509-392-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 JADWIN AVE",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523405",
            "telephone_number": "509-392-6700",
            "fax_number": "509-392-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE HEALTHCARE FOR WOMEN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "LORENZO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "CARMEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-392-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "OP60104325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.