Premier Health Womens Wellness and Obstetrics

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

PREMIER HEALTH WOMENS WELLNESS AND OBSTETRICS

Practice address

1800 S Clover Dr Ste 4
Moses Lake, WA 98837-9759

Phone

(509) 619-5811

NPI assigned

Feb 8, 2024

Organization subpart

No

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

Authorized official

Name

Chelsi Leavitt, RN

Title

Clinic Manager

Phone

(509) 855-1922

Specialties & licenses 1

Addresses

Other names 1

• Premier Health Doing business as

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

CLIA laboratory certificates

Locations

Practitioners 3

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

• Ryan Wade Rasmussen, M.D.

  • Obstetrics & Gynecology Physician
  • Moses Lake, WA
  • NPI 1780974451

  Obstetrics & Gynecology

  NPD
• Brianna Clark, NP

  • Advanced Practice Midwife
  • Moses Lake, WA
  • NPI 1730970682
  NPD (past)
• Amanda Nicole Froisland, FNP-C

  • Family Nurse Practitioner
  • Moses Lake, WA
  • NPI 1528943636
  NPD (past)

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1992569149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 S CLOVER DR STE 4",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988379759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 S CLOVER DR STE 4",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988379759",
            "telephone_number": "509-619-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH WOMENS WELLNESS AND OBSTETRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "LEAVITT",
        "authorized_official_first_name": "CHELSI",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "509-855-1922",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberlee Elizabeth Poole
• Micajah R. Poole
• Rylee Powell
• McClayne Thomas Powers
• Elizabeth Pray
• Nicole Prentice, LSWAIC
• Grover Paul Pridmore, M.ED., LMHC
• Manuel Felipe Prieto, DDS
• Jane C Primm, M.D.
• Professional Dentures Moses Lake

• All providers in Moses Lake, WA
• Obstetrics & Gynecology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.