Rheumatology Northwest, PLLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

MD00022000 Issued in WA

Legal business name

RHEUMATOLOGY NORTHWEST, PLLC

Practice address

3902 Creekside Loop
Suite 120
Yakima, WA 98902-4876

Phone

(509) 248-4066

NPI assigned

Oct 31, 2007

Organization subpart

Yes

Parent organization

WENDY EIDER, MDAs reported in NPPES

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

Authorized official

Name

Tammy Lloyd

Title

Accounts Manager

Phone

(509) 575-3946

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Rheumatology Northwest PLLC

Locations

Practitioners 1

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

• Sandra Carollo, ARNP

  • Family Nurse Practitioner
  • Yakima, WA
  • NPI 1952495277
  NPD (past)

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1790964294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 CREEKSIDE LOOP",
            "address_2": "SUITE 120",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989024876",
            "telephone_number": "509-248-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 CREEKSIDE LOOP",
            "address_2": "SUITE 120",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989024876",
            "telephone_number": "509-248-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHEUMATOLOGY NORTHWEST, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WENDY EIDER, MD",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "LLOYD",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "509-575-3946"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "WA",
            "license": "MD00022000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1079334",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anjelica Reyna Mora, MA61118530
• Sergio Reyna II, PHARMD
• Brian T Reynolds, M.D.
• Emily Lynn Reynolds, RDN
• Jeffrey R. Reynolds, M.D.
• Michael A Rhine, MS COUNSELING
• Arianna Rhodes
• Heather Rhodes
• Makenna Elyse Riber-Penewit
• Christine M Rice, OTR/L, CLT

• Rheumatology Physician in Yakima, WA
• Providers in Yakima, WA by specialty
• Rheumatology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.