The Valley Clinic LLP

Primary specialty

SpecialistTaxonomy code 174400000X

License

2520916959 Issued in WA

Legal business name

THE VALLEY CLINIC LLP

Practice address

716 E Manitoba Ave
Ellensburg, WA 98926-3842

Phone

(509) 925-3151

NPI assigned

Jun 13, 2005

Last updated

Aug 22, 2020By 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

Judith Jean Nielsen

Title

Clinic Manager

Phone

(509) 925-3151

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831194265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 E MANITOBA AVE",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263842",
            "telephone_number": "509-925-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 E MANITOBA AVE",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263842",
            "telephone_number": "509-925-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VALLEY CLINIC LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "509-925-3151"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "2520916959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7831308",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina Tarbert, L.M.T
• Darlene Teela, LMHC
• Joann Tenney, LMT
• The Eye Clinic of Kittitas County (Family Eye Clinic)
• The Valley Alcohol Council (MERIT Resource Services)
• Byron Eugene Thomas, O.D.
• Lorraine Lavonne Thompson, MD
• Jeyda Thomson
• Robert Gordon Thureson, DDS
• Andrea Michelle Salamy Tierney, DPT

• Specialist in Ellensburg, WA
• Providers in Ellensburg, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.