Organization Active NPI

Thuthi Enterprises, LLC

  • Family Medicine Physician
  • Selah, WA
National Provider Identifier
1851919476
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THUTHI ENTERPRISES, LLC
Practice address
715 N Park Ctr # a
Selah, WA 98942-1174
Phone
(509) 248-0497
Fax
(509) 248-4167
NPI assigned
Jul 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Authorized official

Name
Amelia Doris Ledbetter
Title
Director of Operations
Phone
(573) 335-4715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

715 N Park Ctr # a
Selah, WA 98942-1174

Mailing address

1460 N 16TH Ave Ste B
Yakima, WA 98902-7102
Phone (509) 248-0497

Other names 1

  • Best Practices Healthcare Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201029000913 WA Part B Supplier - Clinic/Group Practice 3870903099 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
Practice locations: Selah, WA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2190162Best Practices Healthcare Center715 N Park Center, Selah, WA 98942Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

715 North Park Ctr
#A
Selah, WA 98942
Phone (509) 248-0497

715 North Park Ctr
Ste B
Selah, WA 98942
Phone (509) 426-2378

715 North Park Ctr
Ste A
Selah, WA 98942
Phone (509) 426-2378

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1851919476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 N 16TH AVE STE B",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989027102",
            "telephone_number": "509-248-0497",
            "fax_number": "509-248-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N PARK CTR # A",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989421174",
            "telephone_number": "509-248-0497",
            "fax_number": "509-248-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THUTHI ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "LEDBETTER",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_middle_name": "DORIS",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "573-335-4715"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Best Practices Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Best Practices Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Selah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.