Active NPI
Kalio Stephanie Benao, PHARMD, PA-C
- Physician Assistant
- Yakima, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA61366477
- Practice address
- 406 S 30TH Ave Ste 101
Yakima, WA 98902-3713 - Phone
- (509) 248-7715
- NPI assigned
- Aug 29, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH60637813 | WA | |
| Physician Assistant | 363A00000X | PA61366477 | WA | Primary |
| Pharmacist | 183500000X | P7456 | ID |
Addresses
Primary practice location
406 S 30TH Ave Ste 101
Yakima, WA 98902-3713
Mailing address
2811 Tieton Dr
Yakima, WA 98902-3799
Phone (509) 575-8255
Other practice location 1
1600 E Chestnut Ave
Yakima, WA 98901-2174
Phone (509) 248-3855
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Yale University School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2811 Tieton Dr
Yakima, WA 98902-3761
Phone (509) 575-8000
406 S 30TH Ave
Yakima, WA 98902-3713
Hospital & facility affiliations
- Yakima Valley Memorial
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P7456 | ID | MD | Pharmacist |
| PH60637813 | WA | MD | Pharmacist |
| PA61366477 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yakima Valley Memorial Physicians | Current | Accepting new patients | |
| Yakima Valley Memorial Physicians | Current | Accepting new patients | |
| Yakima Valley Memorial Physicians | Past | Accepting new patients |
Locations
406 S 30th Ave
Ste 101
Yakima, WA 98902
Phone (509) 248-7715
2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210
Interoperability endpoints
- kbenao771603@direct.multicare.org
Organizations & group practices 3
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
-
- Multi-Specialty Clinic/Center
- Yakima, WA
- NPI 1154930543
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Yakima, WA
- NPI 1053373480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1821544099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2811 TIETON DR",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023799",
"telephone_number": "509-575-8255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 S 30TH AVE STE 101",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023713",
"telephone_number": "509-248-7715"
}
],
"practiceLocations": [
{
"address_1": "1600 E Chestnut Ave",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989012174",
"country_code": "US",
"telephone_number": "509-248-3855",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENAO",
"first_name": "KALIO",
"middle_name": "STEPHANIE",
"name_prefix": "Dr.",
"credential": "PHARMD, PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-29",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60637813",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA61366477",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P7456",
"primary": false
}
],
"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 Aug 9, 2023; 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.
- 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.