NPIMap

Organization Active NPI

Planned Parenthood of Greater Washington & North Idaho

Doing business as PPGWNI Walla Walla Health Center

  • Family Medicine Physician
  • Walla Walla, WA
National Provider Identifier
1649425638
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PLANNED PARENTHOOD OF GREATER WASHINGTON & NORTH IDAHO
Doing business as
PPGWNI Walla Walla Health Center
Practice address
828 South 1St Avenue
Walla Walla, WA 99362
Phone
(866) 904-7721
Fax
(509) 576-8685
NPI assigned
Nov 18, 2008
Last updated
May 11, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
PLANNED PARENTHOOD OF GREATER WASHINGTON & NORTH IDAHOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Ms. Kim A. Nelson
Title
VP of Finance
Phone
(866) 904-7721

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X WA Primary
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X
Ambulatory Family Planning Facility 261QA0005X
Multi-Specialty Clinic/Center 261QM1300X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

828 South 1St Avenue
Walla Walla, WA 99362

Mailing address

1117 Tieton Dr
Yakima, WA 98902-3835
Phone (866) 904-7721

Other names 1

  • PPGWNI Walla Walla Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Planned Parenthood of Greater Washington and Northern Idaho19 organizations share this tax ID, including this one
Part of
Planned Parenthood of Greater Washington and Northern Idaho

Other organizations with this tax ID 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1649425638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 TIETON DR",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023835",
            "telephone_number": "866-904-7721",
            "fax_number": "509-576-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 SOUTH 1ST AVENUE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "99362",
            "telephone_number": "866-904-7721",
            "fax_number": "509-576-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD OF GREATER WASHINGTON & NORTH IDAHO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLANNED PARENTHOOD OF GREATER WASHINGTON & NORTH IDAHO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "866-904-7721",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": null,
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PPGWNI Walla Walla Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walla Walla, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.