Active NPI
Debra A Gould, M.D.
- Family Medicine Physician
- Yakima, WA
National Provider Identifier
1740289883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00027853
- Practice address
- 504 N 40TH Ave
Yakima, WA 98908-4311 - Phone
- (509) 966-9480
- Fax
- (509) 225-2702
- NPI assigned
- Jul 20, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00027853 | WA | Primary |
Addresses
Primary practice location
504 N 40TH Ave
Yakima, WA 98908-4311
Mailing address
3800 Summitview Ave
Yakima, WA 98902-2715
Phone (509) 248-7849
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8140154 | Medicaid | WA | |
| 8939873 | Other | WA | CRIME VICTIM |
| 0107394 | Other | WA | LABOR & INDUSTRIES |
| P00059088 | Other | WA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yakima Valley Memorial Physicians | Current | Accepting new patients | |
| Yakima Valley Memorial Physicians | Current | Accepting new patients |
Locations
2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210
406 S 30th Ave
Ste 101
Yakima, WA 98902
Phone (509) 248-7715
504 N 40th Ave
Yakima, WA 98908
4003 Creekside Loop
Yakima, WA 98908
Phone (509) 248-3263
Interoperability endpoints
- dgould772296@direct.multicare.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Yakima, WA
- NPI 1306933940
-
- Durable Medical Equipment & Medical Supplies
- Yakima, WA
- NPI 1366325870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1740289883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 SUMMITVIEW AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989022715",
"telephone_number": "509-248-7849",
"fax_number": "509-248-8291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 N 40TH AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989084311",
"telephone_number": "509-966-9480",
"fax_number": "509-225-2702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOULD",
"first_name": "DEBRA",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-20",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00027853",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8140154",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRIME VICTIM",
"identifier": "8939873",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "0107394",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00059088",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.