Womens Wellness PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD00040581 Issued in WA

Legal business name

WOMENS WELLNESS PLLC

Doing business as

Holly A. Dickson, MD
Womens Wellness PLLC

Practice address

853 Watson St N Ste 200
Enumclaw, WA 98022-3948

Phone

(360) 367-2970

Fax

(360) 998-3241

NPI assigned

Jun 27, 2017

Last updated

Mar 4, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Holly A Dickson, MDNPI 1235145715

Title

Physician

Phone

(360) 367-2970

Specialties & licenses 1

Addresses

Other names 2

• Holly A. Dickson, MD Doing business as
• Womens Wellness PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in WA, ID2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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.

• Holly A Dickson, MD

  • Obstetrics & Gynecology Physician
  • Enumclaw, WA
  • NPI 1235145715

  ID

  Medicare reassignment Care Compare group Authorized official
• Kaleigh Lane Akers, ARNP

  • Family Nurse Practitioner
  • Enumclaw, WA
  • NPI 1801612015
  Medicare reassignment Care Compare group NPD
• Deborah L Friant, PA-C

  • Physician Assistant
  • Renton, WA
  • NPI 1326356114
  Medicare reassignment
• Whitney Kristina Vayntrub, PA-C

  • Physician Assistant
  • Enumclaw, WA
  • NPI 1639625288
  Medicare reassignment
• Robert Louis Coray, M.D.

  • Surgery Physician
  • Rexburg, ID
  • NPI 1104938182
  NPD (past)

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1801316179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 WATSON ST N STE 200",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980223948",
            "telephone_number": "360-367-2970",
            "fax_number": "360-998-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 WATSON ST N STE 200",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980223948",
            "telephone_number": "360-367-2970",
            "fax_number": "360-998-3241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "859 S Yellowstone Hwy Ste 3301",
            "address_purpose": "LOCATION",
            "city": "Rexburg",
            "state": "ID",
            "postal_code": "834406200",
            "country_code": "US",
            "telephone_number": "208-849-9129",
            "fax_number": "208-754-2006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WOMENS WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "360-367-2970",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD00040581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holly A. Dickson, MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Womens Wellness PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teri Wilcox, L.M.P., L.E.
• Tanya Marie Wilke, MD
• Ryan Willis, DPT
• Andrew N Willner, MD
• Samantha La Wilson, CDPT
• Kristi Nicole Woodward
• Berhan Worku
• Lifang Yan-Heggen
• Tera Zeldenrust, RN, IBCLC
• Christopher Ryan Ziegele, DDS

• Obstetrics & Gynecology Physician in Enumclaw, WA
• Providers in Enumclaw, WA by specialty
• Obstetrics & Gynecology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.

Verify at the official NPI Registry.