Active NPI
Yakima Valley Family Clinic
- Family Nurse Practitioner
- Yakima, WA
National Provider Identifier
1821621863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
National Provider Directory
National Provider DirectoryLocations
811 W Yakima Ave
Yakima, WA 98902
Interoperability endpoints
- 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.
-
- Chiropractor
- Yakima, WA
- NPI 1144102617
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
- Yakima Valley Council on Alcoholism
- Yakima Valley Council on Alcoholism
- Yakima Valley Dermatology Inc PS
- Yakima Valley Dermatology Inc. , PS
- Yakima Valley Dermatology Inc. , PS
- Yakima Valley Family Counseling
- Yakima Valley Farm Worker Clinic
- Yakima Valley Farm Worker Clinic
- Yakima Valley Farm Workers Clinic
- Yakima Valley Farm Workers Clinic
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.