Newleaf Healthcare PC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

604097030 Issued in WA

Legal business name

NEWLEAF HEALTHCARE PC

Practice address

4702 Summitview Ave Ste 102
Yakima, WA 98908

Phone

(509) 571-1300

Fax

(877) 334-1891

NPI assigned

Apr 3, 2018

Last updated

May 24, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Renee B Woods, MDNPI 1639252224

Title

Officer/President

Phone

(509) 571-1300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Renee Banning Woods

  • Obstetrics & Gynecology Physician
  • Yakima, WA
  • NPI 1639252224
  Authorized official Same address or phone

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1629574264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4702 SUMMITVIEW AVE STE 102",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989086001",
            "telephone_number": "509-571-1300",
            "fax_number": "877-334-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4702 SUMMITVIEW AVE STE 102",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "98908",
            "telephone_number": "509-571-1300",
            "fax_number": "877-334-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWLEAF HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICER/PRESIDENT",
        "authorized_official_telephone_number": "509-571-1300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WA",
            "license": "604097030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Life OBGYN PLLC (New Life Clinic)
• Robert Marshall Newell, PH.D.
• Penny Newgard, R.N.
• Shae Joannah Newgard
• Judy Newland
• Brenda Mae Newman-Wentz, RN
• Kim M Newman, OT
• Kristi Denise Newman, R.D., C.D.
• Mary F. Newman, M.D.
• Josphine Nginya

• Health Service Clinic/Center in Yakima, WA
• Providers in Yakima, WA by specialty
• Health Service Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.