YAKIMA AVENUE MEDICAL CLINIC, PLLC (NPI# 1205315397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205315397 |
| Entity Type | Organization |
| Organization Name | YAKIMA AVENUE MEDICAL CLINIC, PLLC |
| Other Organization Name | BEST PRACTICES BEHAVIORAL HEALTH CLINIC |
| Practice Address |
5 S. 14th Avenue Attn Behavioral Health Department Yakima WA 98902-3101 |
| Practice Telephone | 5094261759 |
| Practice Fax Number | 5099028210 |
| Mailing Telephone | 5094261759 |
| Mailing Fax Number | 5099028210 |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2018-08-09 |
| Authorized Official Name | KATHY BENSCH (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 5099614868 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | STATE UBI | 603144474 | 01 |
| Other Name | Type Code |
|---|---|
| Best Practices Behavioral Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629365374 | Yakima Avenue Medical Clinic, Pllc | Family Medicine | 5 S 14th Ave, Yakima, WA 98902-3101 | 2011-07-01 |
| Street Address |
5 S. 14TH AVENUE ATTN BEHAVIORAL HEALTH DEPARTMENT |
| City | YAKIMA |
| State | WA |
| Zip Code | 98902-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922653203 | Laboratory Corporation of America | Clinical Medical Laboratory | 314 S 11th Ave Suite A, Yakima, WA 98902 | 2019-08-05 |
| 1669967865 | Rebecca Schrader | Speech-Language Pathologist | Children's Village 3801 Kern Road, Yakima, WA 98902 | 2018-06-29 |
| 1720572928 | Hyperbaric Centers of Washington | Preventive Medicine | 302 S. 12th Ave., Yakima, WA 98902 | 2018-06-20 |
| 1487155503 | Courtney Lombardi | Nurse Practitioner | 1515 W Yakima Ave, Yakima, WA 98902 | 2018-02-23 |
| 1003329665 | Maria-elena Mendoza | Case Manager/Care Coordinator | 918 E Mead Avenue, Yakima, WA 98902 | 2017-11-06 |
| 1679017610 | Claudia Zepeda | Massage Therapist | 3908 Creekside Loop Ste # 110, Yakima, WA 98902 | 2016-12-09 |
| 1093194425 | Silas Klaver | Podiatrist | 1607 Creekside Loop Ste 140, Yakima, WA 98902 | 2015-05-18 |
| 1821490905 | Jen Lynn Silver | Massage Therapist | 3512 Tieton Dr, Yakima, WA 98902 | 2014-09-20 |
| 1194131383 | Brenna Claire Hayes | Genetic Counselor, MS | 2903 W Walnut, Yakima, WA 98902 | 2014-07-08 |
| 1720400435 | Agnes Nadine Jeske | Speech-Language Pathologist | 621 S. 13th Ave., Mckinley Elementary School, Yakima, WA 98902 | 2014-01-15 |
| Find all providers in zip 98902 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417384744 | Leslie C Rodriguez | Nurse Practitioner | 2807 W Washington Ave Ste 127, Yakima, WA 98903-1367 | 2013-10-01 |
| 1407921836 | Barbara M Mackenzie | Nurse Practitioner | 32 N 3rd St, Suite 437, Yakima, WA 98901-2788 | 2006-11-21 |
| 1407492135 | Monica Miner | Nurse Practitioner | 402 S 4th Ave, Yakima, WA 98902-3546 | 2019-11-18 |
| 1053782102 | Debra Rice | Nurse Practitioner | 402 S 4th Ave, Yakima, WA 98902-3546 | 2015-10-15 |
| 1336488832 | Yakima Worker Care, Pllc | Nurse Practitioner | 409 S 12th Ave, Yakima, WA 98902-3114 | 2013-02-05 |
| 1679833735 | New Direction Behavioral Care LLC | Nurse Practitioner | 1460 N 16th Ave, Ste G, Yakima, WA 98902-7102 | 2012-05-23 |
| 1528326451 | Susan Kathryn Stolzenbach | Nurse Practitioner | 1460 N 16th Ave, Ste G, Yakima, WA 98902-7102 | 2012-04-28 |
| 1952474108 | Karen Diana | Nurse Practitioner | 402 S 4th Ave, Yakima, WA 98902-3546 | 2006-11-16 |
| 1851474704 | Lisa A Vickers | Nurse Practitioner | 1450 N 16th Ave Ste 102, Yakima, WA 98902-1381 | 2006-10-23 |
| 1194817700 | Janet Marie Ness | Nurse Practitioner | 717 Fruitvale Blvd, Yakima Community Based Outpt. Clinic (cboc), Yakima, WA 98902 | 2006-09-29 |
| Find all providers in YAKIMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.