Organization Active NPI

Yakima Valley Family Clinic

  • Family Nurse Practitioner
  • Yakima, WA
National Provider Identifier
1821621863
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
YAKIMA VALLEY FAMILY CLINIC
Practice address
811 W Yakima Ave Ste 104
Yakima, WA 98902-3088
Phone
(509) 367-6066
Fax
(509) 367-6190
NPI assigned
Feb 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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

Authorized official

Name
Eze Nwaubani, ARNP
Title
Owner
Phone
(509) 367-6066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

811 W Yakima Ave Ste 104
Yakima, WA 98902-3088

Mailing address

811 W Yakima Ave
Yakima, WA 98902-3088
Phone (509) 367-6066

Other names 1

  • YAKIMA VALLEY FAMILY CLINIC, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

811 W Yakima Ave
Yakima, WA 98902

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20619/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1821621863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 W YAKIMA AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023088",
            "telephone_number": "509-367-6066",
            "fax_number": "509-367-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W YAKIMA AVE STE 104",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023088",
            "telephone_number": "509-367-6066",
            "fax_number": "509-367-6190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKIMA VALLEY FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A",
        "authorized_official_last_name": "NWAUBANI",
        "authorized_official_first_name": "EZE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-367-6066",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YAKIMA VALLEY FAMILY CLINIC, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 30, 2020; 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.