Yakima Specialties, Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

397-018-990 Issued in WA

Legal business name

YAKIMA SPECIALTIES, INC

Practice address

1819 W J St
Yakima, WA 98902-1227

Phone

(509) 453-0386

Fax

(509) 453-1279

NPI assigned

Nov 9, 2016

Organization subpart

No

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

Authorized official

Name

Thomas P Gannon

Title

Executive Director

Phone

(509) 453-0386

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1649712449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 W J ST",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989021227",
            "telephone_number": "509-453-0386",
            "fax_number": "509-453-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 W J ST",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989021227",
            "telephone_number": "509-453-0386",
            "fax_number": "509-453-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKIMA SPECIALTIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "GANNON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "509-453-0386"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "WA",
            "license": "397-018-990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Yakima School District
• Yakima Surgical Associates, PLLC
• Yakima Urology Associates PLLC (Yakima Urology Surgery Center)
• Yakima Urology Associates PLLC
• Yakima Urology at Memorial TR
• Yakima Valley Cab Company LLC (Yakima Valley Cab)

• Developmentally Disabled Services Day Training Agency in Yakima, WA
• Providers in Yakima, WA by specialty
• Developmentally Disabled Services Day Training Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.