Active NPI
Rishi S Mistry, ARNP
- Pediatric Nurse Practitioner
- Yakima, WA
National Provider Identifier
1609240563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP60610438
- Practice address
- 402 S 12TH Ave
Yakima, WA 98902-3115 - Phone
- (509) 575-0114
- Fax
- (509) 575-0808
- NPI assigned
- Nov 16, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AP60610438 | WA | Primary |
Addresses
Primary practice location
402 S 12TH Ave
Yakima, WA 98902-3115
Mailing address
501 S 5TH Ave
Yakima, WA 98902-3550
Phone (509) 494-6700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0350371 | Other | WA | LABOR & INDUSTRIES |
| 2049973 | Medicaid | WA |
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health of Central Washington | Past | Accepting new patients |
Interoperability endpoints
- rmistry604895@direct.ochin.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Yakima, WA
- NPI 1598764920
-
dba Yakima Pediatrics
- Pediatrics Physician
- Yakima, WA
- NPI 1154533222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537920000000",
"number": "1609240563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 S 5TH AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023550",
"telephone_number": "509-494-6700",
"fax_number": "509-573-6275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 S 12TH AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023115",
"telephone_number": "509-575-0114",
"fax_number": "509-575-0808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISTRY",
"first_name": "RISHI",
"middle_name": "S",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-16",
"last_updated": "2018-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "WA",
"license": "AP60610438",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "0350371",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2049973",
"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 Sep 26, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.