Active NPI
Olympic Valley Clinic, PLLC
- Primary Care Clinic/Center
- Elma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- OLYMPIC VALLEY CLINIC, PLLC
- Practice address
- 11 Schouweiler Rd
Elma, WA 98541-9306 - Phone
- (360) 482-5300
- Fax
- (360) 482-5900
- NPI assigned
- Sep 28, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashley M Taylor, ARNP
- Title
- Provider/Owner
- Phone
- (360) 485-0046
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
11 Schouweiler Rd
Elma, WA 98541-9306
Mailing address
1905 Owen Dr
Montesano, WA 98563-9761
Phone (360) 451-8719
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2307027 | Olympic Valley Clinic | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
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.
-
- Family Nurse Practitioner
- Elma, WA
- NPI 1598358277
-
- Advanced Practice Midwife
- Vancouver, WA
- NPI 1689236556
-
- Nurse Practitioner
- Olympia, WA
- NPI 1124409198
-
- Family Nurse Practitioner
- Napavine, WA
- NPI 1649817487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664323200000",
"number": "1710601299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 OWEN DR",
"city": "MONTESANO",
"state": "WA",
"postal_code": "985639761",
"telephone_number": "360-451-8719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 SCHOUWEILER RD",
"city": "ELMA",
"state": "WA",
"postal_code": "985419306",
"telephone_number": "360-482-5300",
"fax_number": "360-482-5900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLYMPIC VALLEY CLINIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-28",
"last_updated": "2022-09-28",
"certification_date": "2022-09-28",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "ASHLEY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PROVIDER/OWNER",
"authorized_official_telephone_number": "360-485-0046",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.