Cascade Headache, PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

CASCADE HEADACHE, PLLC

Doing business as

Cascade Headache

Practice address

4405 7TH Ave. SE
Suite 200, PMB 2872
Lacey, WA 98503

Phone

(253) 220-4635

Fax

(253) 237-9326

NPI assigned

Apr 15, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Samuel A Urkov, DNP, ARNP, FNP-C

Title

Owner & Provider

Phone

(253) 220-4635

Specialties & licenses 1

Addresses

Other names 1

• Cascade Headache Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1083400311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 7TH AVE. SE",
            "address_2": "SUITE 200, PMB 2872",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "98503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 7TH AVE. SE",
            "address_2": "SUITE 200, PMB 2872",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "98503",
            "telephone_number": "253-220-4635",
            "fax_number": "253-237-9326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE HEADACHE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-15",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "URKOV",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER & PROVIDER",
        "authorized_official_telephone_number": "253-220-4635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, ARNP, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascade Headache",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Breanna Carrington
• Jonna Gail Carson-Webb, PSY.D.
• Sierra Leigh Carter-Connolly, LMT
• Cary C Brim Reid Small Aspirations
• Cascade Family Dental Care
• Ronald L. Case, M.D.
• Jennessa Casey
• Jessica Ann Cassady, FNP-BC
• Yvonne Michelle Castellano
• Alyssa Castillo

• Nurse Practitioner in Lacey, WA
• Providers in Lacey, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.