REESE A ULLAS PA-C NPI 1285061614

NPI Information

NPI: 1285061614
Provider Name: REESE A ULLAS, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: KITTITAS VALLEY URGENT CARE PLLC

PECOS Registration: Yes

Address:
1211 N 16TH AVE
YAKIMA, WA
ZIP 98902
Phone: (509) 454-8888
Get Directions

Reese A Ullas, PA-C is a surgical physician assistant in Yakima, WA with 11 years of experience. Reese A Ullas, PA-C NPI is 1285061614. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2013

The provider's business location address is:

1211 N 16TH AVE
YAKIMA, WA
ZIP 98902-347
Phone: (509) 454-8888
Fax: (509) 453-0061

The NPI 1285061614 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/30/2013 and was last updated on 9/30/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		PA60418621	WASHINGTON	No
2	363AS0400X	Physician Assistant	Surgical	PA60418621	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2011328	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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