1. Home
  2. Directory
  3. Washington
  4. Yakima
  5. Pediatrics
  6. NPI Profile

NOURISH WELLNESS PLLC
NPI 1003321480
Pediatrics in Yakima, WA

Active since December 07, 2017CLIA 50D2112791 · Waiver
3105 SUMMITVIEW AVE STE C, YAKIMA, WA 98902(509) 969-6214(888) 565-2493 Get Directions Write a Review

NPPES record last updated: December 7, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nourish Wellness Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOURISH WELLNESS PLLC (NPI 1003321480) is a healthcare organization registered as a pediatrics in Yakima, Washington and active in the NPI registry since December 2017. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Yamileth Cazorla-lancaster, Do, as its authorized official.

NPPES Registry Identity

NPI1003321480
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNOURISH WELLNESS PLLC
Location Address3105 SUMMITVIEW AVE STE CYakima, WA 98902-2310
Mailing AddressPo Box 20968Belfast, ME 04915-4106 · (509) 969-6214 · Fax (888) 565-2493
Phone(509) 969-6214
Fax(888) 565-2493
Organization SubpartNo
Authorized OfficialYamileth Cazorla-lancasterDo · (509) 969-4106
Enumeration DateDecember 7, 2017
✔ NPI 1003321480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WA · OP60077117
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3105 SUMMITVIEW AVE STE C, Yakima, WA 98902
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2112791

Nourish Wellness · Yakima, WA
Active · expires Apr 4, 2028
CLIA Number50D2112791
Laboratory TypePhysician Office
Certificate Effective DateMay 9, 2016
Certificate Expiration DateApril 4, 2028
Laboratory DirectorSusy Jimenez
Laboratory Phone(509) 969-6214
Laboratory LocationNourish Wellness1111 N 35th Ave Ste 120, Yakima, WA 98902
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARALEE KNIGHT ARNP
Nurse Practitioner (Family)
3105 SUMMITVIEW AVE STE C
YAKIMA, WA 98902
Yakima County (509) 930-7777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nourish Wellness PLLC's NPI number?

The NPI number for Nourish Wellness PLLC is 1003321480. It was assigned to this organization in the NPPES registry on December 7, 2017.

Where is Nourish Wellness PLLC located?

Nourish Wellness PLLC is located at 3105 Summitview Ave Ste C, Yakima, WA 98902. The listed phone number is (509) 969-6214.

What is Nourish Wellness PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Nourish Wellness PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2112791) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Nourish Wellness PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Nourish Wellness PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nourish Wellness PLLC was last updated on December 7, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.