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INTEGRATIVE DERMATOLOGY
NPI 1891513651
Dermatology in Yakima, WA

Active since October 01, 2024CLIA 50D2314892 · Microscopy
1607 CREEKSIDE LOOP STE 140, YAKIMA, WA 98902(509) 794-1434(509) 774-3220 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 22, 2024, Oct 1, 2024 (2 updates tracked since 2024).

About Integrative Dermatology NPPES

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

INTEGRATIVE DERMATOLOGY (NPI 1891513651) is a healthcare organization registered as a dermatology in Yakima, Washington and active in the NPI registry since October 2024. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Jennifer Martin, Pa-c, as its authorized official.

NPPES Registry Identity

NPI1891513651
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameINTEGRATIVE DERMATOLOGY
Location Address1607 CREEKSIDE LOOP STE 140Yakima, WA 98902-4882
Mailing Address1607 Creekside Loop Ste 140Yakima, WA 98902-4882
Phone(509) 794-1434
Fax(509) 774-3220
Organization SubpartNo
Authorized OfficialJennifer MartinPa-c · (509) 794-1434
Enumeration DateOctober 1, 2024
Last NPPES UpdateNovember 22, 20242 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
✔ NPI 1891513651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1607 CREEKSIDE LOOP STE 140, Yakima, WA 98902
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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

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 for Provider-Performed Microscopy Procedures (PPMP) 50D2314892

Integrative Dermatology · Yakima, WA
Active · expires Apr 4, 2028
CLIA Number50D2314892
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 2, 2024
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJeffrey V. Troba
Laboratory Phone(509) 969-9076
Laboratory LocationIntegrative Dermatology1607 Creekside Loop # 140, Yakima, WA 98902
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

JENNIFER MARTIN PA-C
Physician Assistant
1607 CREEKSIDE LOOP STE 140
YAKIMA, WA 98902
Yakima County (509) 969-9076
JEFFREY C VANTROBA PA-C
Physician Assistant (Medical)
1607 CREEKSIDE LOOP STE 140
YAKIMA, WA 98902
Yakima County (509) 969-9076

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 Integrative Dermatology's NPI number?

The NPI number for Integrative Dermatology is 1891513651. It was assigned to this organization in the NPPES registry on October 1, 2024.

Where is Integrative Dermatology located?

Integrative Dermatology is located at 1607 Creekside Loop Ste 140, Yakima, WA 98902. The listed phone number is (509) 794-1434.

What is Integrative Dermatology's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Integrative Dermatology hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D2314892) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Integrative Dermatology was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.