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NICOLE WEST
NPI 1104487115
Dietitian, Registered in Yakima, WA

Active since June 21, 2019
602 E NOB HILL BLVD, YAKIMA, WA 98901(509) 248-3334(509) 453-6144 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 6, 2025, Jun 21, 2019 (2 updates tracked since 2019).

About Nicole West NPPES

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

NICOLE WEST (NPI 1104487115) is an individual dietitian, registered in Yakima, Washington, licensed in Washington (DI60968791) and active in the NPI registry since June 2019. She maintains a secondary practice location in Walla Walla and is a graduate of Other (2018).

NPPES Registry Identity

NPI1104487115
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameNICOLE WEST
Location Address602 E NOB HILL BLVDYakima, WA 98901-3534
Mailing AddressPo Box 190Toppenish, WA 98948-0190 · (509) 865-2395 · Fax (509) 865-0757
Phone(509) 248-3334
Fax(509) 453-6144
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 21, 2019
Last NPPES UpdateOctober 6, 20252 updates tracked since enumeration
NPPES CertifiedOctober 6, 2025
✔ NPI 1104487115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in WA · DI60968791
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
602 E NOB HILL BLVD, Yakima, WA 98901
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Secondary Practice Location 1

Location 11120 W Rose StWalla Walla, WA 99362-1662 · Phone (509) 525-0422

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole West is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092203349
PECOS Enrollment IDI20251020002512

Medicare Billing Reassignment

Medicare enrollment records show Nicole West reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Yakima Valley Farm Workers Clinic
Same address
Federally Qualified Health Center (FQHC)
602 E NOB HILL BLVD
Yakima, WA 98901
  • Reassigned Medicare billing, Washington enrollment
  • 252 clinicians in this Medicare group
NPI 1174659890 (509) 457-6881

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

JENNIFER WILLIAMS
Physician Assistant
602 E NOB HILL BLVD
YAKIMA, WA 98901
Yakima County (509) 248-3334
JAROM ALEXANDER SMITH DDS
Dentist (General Practice)
602 E NOB HILL BLVD
YAKIMA, WA 98901
Yakima County (509) 248-1082
DANIEL DOORNINK
Internal Medicine
602 E NOB HILL BLVD
YAKIMA, WA 98901
Yakima County (509) 248-3334
DR. LIBERTY J MATAIA DDS
Dentist
602 E NOB HILL BLVD
YAKIMA, WA 98901
Yakima County (509) 248-3334
MRS. ANDREA CARRIEDO RN
Registered Nurse (Community Health)
602 E NOB HILL BLVD
YAKIMA, WA 98901
Yakima County (509) 453-7144
LILIA OFELIA CRUZ-RICO
Case Manager/Care Coordinator
602 E NOB HILL BLVD
YAKIMA, WA 98901
Yakima County (509) 457-6540
THAI-MAI DANG PHARMD
Pharmacist
602 E NOB HILL BLVD
YAKIMA, WA 98901
Yakima County (509) 248-3334
MICHAEL JACH
Family Medicine
602 E NOB HILL BLVD
YAKIMA, WA 98901
Yakima County (509) 248-3334

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 Nicole West's NPI number?

The NPI number for Nicole West is 1104487115. It was assigned to this individual provider in the NPPES registry on June 21, 2019.

Where is Nicole West located?

Nicole West practices at 602 E Nob Hill Blvd, Yakima, WA 98901. The listed phone number is (509) 248-3334.

What is Nicole West's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Nicole West enrolled in Medicare?

Yes. Nicole West is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole West's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole West reassigns Medicare benefits to Yakima Valley Farm Workers Clinic (Yakima, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole West's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole West accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Nicole West 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 Nicole West was last updated on October 6, 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.