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YELM FAMILY MEDICINE, PLLC
NPI 1053364950
Family Medicine in Yelm, WA

Active since May 19, 2006CLIA 50D0637291 · Waiver
201 TAHOMA BLVD, SUITE 102, YELM, WA 98597(360) 458-7761(360) 458-8316 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Yelm Family Medicine, Pllc NPPES

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

YELM FAMILY MEDICINE, PLLC (NPI 1053364950) is a healthcare organization registered as a family medicine in Yelm, Washington and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Brenda E Longmire, Manager, as its authorized official.

NPPES Registry Identity

NPI1053364950
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameYELM FAMILY MEDICINE, PLLC
Location Address201 TAHOMA BLVD, SUITE 102Yelm, WA 98597-7735
Mailing Address201 Tahoma Blvd Se, Suite 102Yelm, WA 98597 · (360) 458-7761 · Fax (360) 458-6612
Phone(360) 458-7761
Fax(360) 458-8316
Organization SubpartNo
Authorized OfficialBrenda E LongmireManager · (360) 458-7761
Enumeration DateMay 19, 2006
Last NPPES UpdateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
✔ NPI 1053364950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
201 TAHOMA BLVD, Yelm, WA 98597
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Other Identifiers 2

Medicaid7068828WA
Other62140WA · L&i

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 50D0637291

Yelm Family Medicine · Yelm, WA
Active · expires Apr 4, 2028
CLIA Number50D0637291
Laboratory TypePhysician Office
Certificate Effective DateMay 7, 2004
Certificate Expiration DateApril 4, 2028
Laboratory DirectorTamara Bunn
Laboratory Phone(360) 458-7761
Laboratory LocationYelm Family Medicine201 Tahoma Blvd Unit 102, Yelm, WA 98597
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

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

KATHLEEN J MAY F.N.P.
Nurse Practitioner (Family)
201 TAHOMA BLVD, SUITE 102
YELM, WA 98597
Thurston County (360) 458-7761
KYLE J. SISLER PT, DPT
Physical Therapist
201 TAHOMA BLVD, STE 207
YELM, WA 98597
Thurston County (360) 458-6400
CAITLYN LONG DPT
Physical Therapist
201 TAHOMA BLVD, STE 207
YELM, WA 98597
Thurston County (360) 458-6400
WILLIAM J PENN M.D.
Emergency Medicine
201 TAHOMA BLVD, SUITE 102
YELM, WA 98597
Thurston County (360) 458-7761
KAELA PIVNICK RD
Dietitian, Registered
201 TAHOMA BLVD, STE 207
YELM, WA 98597
Thurston County (360) 458-6400
MR. AARON MICHAEL GEE PT, DPT, ATC
Physical Therapist
201 TAHOMA BLVD, SUITE 207
YELM, WA 98597
Thurston County (360) 458-6400
CHERI M DORHAUER M.D.
Family Medicine
201 TAHOMA BLVD, SUITE 102
YELM, WA 98597
Thurston County (360) 458-7761
DR. CYNTHIA ANNE WILSON DO
Family Medicine
201 TAHOMA BLVD, SUITE 102
YELM, WA 98597
Thurston County (360) 458-7761

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 Yelm Family Medicine, PLLC's NPI number?

The NPI number for Yelm Family Medicine, PLLC is 1053364950. It was assigned to this organization in the NPPES registry on May 19, 2006.

Where is Yelm Family Medicine, PLLC located?

Yelm Family Medicine, PLLC is located at 201 Tahoma Blvd Suite 102, Yelm, WA 98597. The listed phone number is (360) 458-7761.

What is Yelm Family Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Yelm Family Medicine, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D0637291) 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 Yelm Family Medicine, PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Yelm Family Medicine, 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 Yelm Family Medicine, PLLC was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.