PULLMAN FAMILY MEDICINE (NPI# 1174668412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174668412 |
| Entity Type | Organization |
| Organization Name | PULLMAN FAMILY MEDICINE |
| Practice Address |
915 Ne Valley Rd Pullman WA 99163-3845 |
| Practice Telephone | 5093323548 |
| Practice Fax Number | 5093325253 |
| Mailing Telephone | 5093323548 |
| Mailing Fax Number | 5093325253 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RICHARD A EMTMAN (PARTNER) |
| Authorized Official Telephone | 5093323548 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DEPT OF SOCIAL & HEALTH S | 7030588 | 01 |
| WA | LABOR & INDUSTRIES | 34320 | 01 |
| WA | MOLINA | 3504 | 01 |
| Street Address |
915 NE VALLEY RD |
| City | PULLMAN |
| State | WA |
| Zip Code | 99163-3845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194703934 | David N Spencer | Family Medicine | 915 Ne Valley Rd, Pullman, WA 99163-3845 | 2006-01-03 |
| 1184158560 | Laura Kathryn Baker | Family Medicine | 915 Ne Valley Rd, Pullman, WA 99163-3845 | 2017-04-12 |
| 1518279959 | Kristine Ellen Brenc | Nurse Practitioner | 915 Ne Valley Rd, Pullman, WA 99163-3845 | 2010-07-13 |
| 1972608297 | Keith M Gautreaux | Family Medicine | 915 Ne Valley Rd, Pullman, WA 99163-3845 | 2006-09-13 |
| 1306871603 | Shaleah D Jones | Family Medicine | 915 Ne Valley Rd, Pullman, WA 99163-3845 | 2006-07-12 |
| 1386622744 | Kimberley F Guida | Family Medicine | 915 Ne Valley Rd, Pullman, WA 99163-3845 | 2006-01-05 |
| 1295713667 | Benjamin J Adkins | Family Medicine | 915 Ne Valley Rd, Pullman, WA 99163-3845 | 2006-01-05 |
| 1205814662 | Joann M Tracy | Physician Assistant | 915 Ne Valley Rd, Pullman, WA 99163 | 2006-01-05 |
| 1669450029 | Catherine A Fitzpatrick | Nurse Practitioner | 915 Ne Valley Rd, Pullman, WA 99163 | 2006-01-05 |
| 1487632840 | Richard A Emtman | Family Medicine | 915 Ne Valley Rd, Pullman, WA 99163-3845 | 2006-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003445255 | Jennifer Beattie | Specialist/Technologist | 1360 Cougar Way, Pullman, WA 99163 | 2020-04-08 |
| 1245715788 | Chirs Sader | Specialist/Technologist | Cougar Way, Bohler Addition, Pullman, WA 99163 | 2018-10-01 |
| 1588158307 | Stefanie Clark | Massage Therapist | 1205 Se Bishop Blvd, Suite #109, Pullman, WA 99163 | 2018-06-15 |
| 1023523859 | Madeleine Degrasse | Specialist/Technologist | 1580 Ne Cougar Way, 265, Coleman, WA 99163 | 2017-12-01 |
| 1720517188 | Chelsea Michelle Luna | Specialist/Technologist | 705 Nw State St, Pullman, WA 99163 | 2017-06-08 |
| 1649706185 | Travis Reid Edwards | Specialist/Technologist | 1455 Ne Colorado St, Pullman, WA 99163 | 2017-05-03 |
| 1053775403 | Anna Grindeland | Dietitian, Registered | 555 Se Water St, Pullman, WA 99163 | 2016-04-12 |
| 1487991741 | Yoko Jingi | Specialist/Technologist | 1225 S Grand Ave., Pullman, WA 99163 | 2013-01-07 |
| 1003151572 | Jessie M Armstrong | Speech-Language Pathologist | 1805 Nw Canyonview Drive, Pullman, WA 99163 | 2012-12-10 |
| 1679827877 | Schweitzer Engineering Laboratories | Clinic/Center | 2440 Ne Hopkins Ct., Pullman, WA 99163 | 2012-11-09 |
| Find all providers in zip 99163 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447773528 | Rolling Hills Natural Family Medicine, Pllc | Clinic/Center | 1300 Ne Henley Ct Ste 5c, Pullman, WA 99163-5662 | 2017-07-20 |
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| 1922622158 | Vera Whole Health Wa, PC | Clinic/Center | 16009 E Indiana Ave, Spokane Valley, WA 99216 | 2020-06-03 |
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| 1821634312 | Columbia Basin Mobile Medicine LLC | Clinic/Center | 1357 Platinum Pl, West Richland, WA 99353-5108 | 2019-11-20 |
| 1063056497 | A Community Wellness Clinic LLC | Clinic/Center | 2405 E 17th Ave Ste 113, Spokane, WA 99223-5122 | 2019-10-29 |
| 1013550987 | Rejuventa Medical Corp. | Clinic/Center | 107 North Tower Ave Suite 17, Centralia, WA 98531-4253 | 2019-10-23 |
| 1023668407 | Vera Whole Health Wa, PC | Clinic/Center | 4933 Evergreen Way, Everett, WA 98203-2828 | 2019-09-17 |
| 1679042501 | Family and Wellness Medicine | Clinic/Center | 34004 16th Ave S Ste 100, Federal Way, WA 98003-8905 | 2018-11-20 |
| Find all providers with the same taxonomy | ||||
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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.