Active NPI
Savanna Mahealani Gooch
- Student in an Organized Health Care Education/Training Program
- Yakima, WA
National Provider Identifier
1801511795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 200 University Pkwy
Yakima, WA 98901-9539 - Phone
- (509) 452-5100
- NPI assigned
- Oct 4, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | WA | Primary |
Addresses
Primary practice location
200 University Pkwy
Yakima, WA 98901-9539
Mailing address
200 University Pkwy
Yakima, WA 98901-9539
Phone (509) 452-5100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1801511795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 UNIVERSITY PKWY",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989019539",
"telephone_number": "509-452-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 UNIVERSITY PKWY",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989019539",
"telephone_number": "509-452-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOOCH",
"first_name": "SAVANNA",
"middle_name": "MAHEALANI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-04",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.