Active NPI
Lake Cavanaugh Wellness
- Family Nurse Practitioner
- Mount Vernon, WA
National Provider Identifier
1083570030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- LAKE CAVANAUGH WELLNESS
- Practice address
- 35206 Phipps Dr
Mount Vernon, WA 98274-8223 - Phone
- (360) 224-3222
- Fax
- (360) 873-0306
- NPI assigned
- Jan 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah Schulke, NP
- Title
- Owner/FNP
- Phone
- (360) 224-3222
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
35206 Phipps Dr
Mount Vernon, WA 98274-8223
Mailing address
35206 Phipps Dr
Mount Vernon, WA 98274-8223
Phone (360) 224-3222
National Provider Directory
National Provider Directory- Tax ID family
- Lake Cavanaugh Wellness
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Mount Vernon, WA
- NPI 1174483937
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Mount Vernon, WA
- NPI 1811712425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767312000000",
"number": "1083570030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35206 PHIPPS DR",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982748223",
"telephone_number": "360-224-3222",
"fax_number": "360-873-0306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35206 PHIPPS DR",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982748223",
"telephone_number": "360-224-3222",
"fax_number": "360-873-0306"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKE CAVANAUGH WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-02",
"last_updated": "2026-01-02",
"certification_date": "2026-01-02",
"status": "A",
"authorized_official_last_name": "SCHULKE",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "OWNER/FNP",
"authorized_official_telephone_number": "360-224-3222",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.