Organization Active NPI

Washington Neurology, Inc

  • Neurology Physician
  • Yakima, WA
National Provider Identifier
1790172963
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD60295880 Issued in WA
Legal business name
WASHINGTON NEUROLOGY, INC
Practice address
307 S 12TH Ave
Suite #17
Yakima, WA 98902-3100
Phone
(509) 969-9393
NPI assigned
Apr 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

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

Authorized official

Name
Sarah Wilkey
Title
Healthcare Consultant
Phone
(858) 888-2160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X MD60295880 WA Primary

Addresses

Primary practice location

307 S 12TH Ave
Suite #17
Yakima, WA 98902-3100

Mailing address

307 S 12TH Ave
Suite #17
Yakima, WA 98902-3100

Other identifiers 2

IdentifierTypeStateIssuer
MD60295880OtherWAMEDICAL LICENSE
1477692416OtherINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150811006000 WA Part B Supplier - Clinic/Group Practice 4587979109 Receives reassigned benefits from 2 practitioners
Practice locations: Yakima, WA

National Provider Directory

National Provider Directory

Locations

421 S 47th Ave
Ste C
Yakima, WA 98908
Phone (509) 966-9393

421 S 47th Ave
Yakima, WA 98908
Phone (509) 969-9393

307 S 12th Ave
Ste 17
Yakima, WA 98902
Phone (509) 969-9393

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429833600000",
    "number": "1790172963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S 12TH AVE",
            "address_2": "SUITE #17",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S 12TH AVE",
            "address_2": "SUITE #17",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023100",
            "telephone_number": "509-969-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON NEUROLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-24",
        "last_updated": "2015-04-24",
        "status": "A",
        "authorized_official_last_name": "WILKEY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "HEALTHCARE CONSULTANT",
        "authorized_official_telephone_number": "858-888-2160"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD60295880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD60295880",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1477692416",
            "state": null
        }
    ],
    "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 Apr 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.