Individual provider Active NPI

Tami Izzi, RN

  • Family Nurse Practitioner
  • Ellensburg, WA
National Provider Identifier
1861384414
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP70080776 Issued in WA
Practice address
205 W 5TH Ave Ste 1
Ellensburg, WA 98926-2887
Phone
(509) 962-7527
NPI assigned
Jul 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP70080776 WA Primary

Addresses

Primary practice location

205 W 5TH Ave Ste 1
Ellensburg, WA 98926-2887

Mailing address

41 Brannigan LN
Ellensburg, WA 98926-6200
Phone (509) 312-0042

Other practice location 1

100 W 3rd Ave Ste 2
Ellensburg, WA 98926-3377
Phone (509) 388-9887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 30, 2025 through Dec 30, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP70080776WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindbody Health and Wellness Clinic Current Accepting new patients
Kittitas County Public Health CurrentSince Jul 22, 2025 Accepting new patients

Locations

205 W 5th Ave
Ste 1
Ellensburg, WA 98926
Phone (509) 962-7527

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1861384414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 BRANNIGAN LN",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989266200",
            "telephone_number": "509-312-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W 5TH AVE STE 1",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989262887",
            "telephone_number": "509-962-7527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 W 3rd Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Ellensburg",
            "state": "WA",
            "postal_code": "989263377",
            "country_code": "US",
            "telephone_number": "509-388-9887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IZZI",
        "first_name": "TAMI",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP70080776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellensburg, WA

Sources for this page

Verify at the official NPI Registry.