River Valley Health LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

RIVER VALLEY HEALTH LLC

Practice address

2001 W 5TH St
Grandview, WA 98930-9362

Phone

(801) 913-7271

NPI assigned

Jan 17, 2025

Organization subpart

No

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

Authorized official

Name

Jasen Gibbons

Title

VP

Phone

(509) 531-7267

Specialties & licenses 1

Addresses

Practitioners 1

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

• Stephanie Gibbons, AGPCNP-BC

  • Gerontology Nurse Practitioner
  • Grandview, WA
  • NPI 1760245807
  NPD

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750982400000",
    "number": "1669283727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 W 2ND ST",
            "city": "GRANDVIEW",
            "state": "WA",
            "postal_code": "989301177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W 5TH ST",
            "city": "GRANDVIEW",
            "state": "WA",
            "postal_code": "989309362",
            "telephone_number": "801-913-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VALLEY HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "JASEN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "509-531-7267"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Quiroz-Portella, MD
• R. Scott Williams, D.D.S., P.S.
• Valerie Ramos
• Casey Marie Redman, DPT
• Sarah Renteria
• Kaylani Eileen Roberson, REGISTERED NURSE
• Ashley Nichole Rueda
• Vicente Ruiz, CDP
• Safeway Inc
• Kimberly G Sales, ARNP

• Nurse Practitioner in Grandview, WA
• Providers in Grandview, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; 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.