Healthcare Provider Details

I. General information

NPI: 1235962309
Provider Name (Legal Business Name): TOTAL MEDICAL AND MANAGEMENT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2024
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 UNIVERSITY PKWY STE 104
YAKIMA WA
98901-1448
US

IV. Provider business mailing address

111 UNIVERSITY PKWY STE 104
YAKIMA WA
98901-1448
US

V. Phone/Fax

Practice location:
  • Phone: 509-767-6447
  • Fax: 509-902-0537
Mailing address:
  • Phone: 509-767-6447
  • Fax: 509-902-0537

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LX0106X
TaxonomyOccupational Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JAMES RYAN CASE
Title or Position: OWNER/MEMBER
Credential: ARNP
Phone: 509-767-6447