Organization Active NPI

Touchmark on South Hill LP

  • Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1093107328
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60204231 Issued in WA
Legal business name
TOUCHMARK ON SOUTH HILL LP
Practice address
2929 S Waterford Dr
Spokane, WA 99203-4400
Phone
(509) 536-2929
Fax
(509) 536-3999
NPI assigned
Feb 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Authorized official

Name
Brian Eugene Pryor
Title
Executive Vice President
Phone
(503) 646-5186

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X AP60204231 WA Primary

Addresses

Primary practice location

2929 S Waterford Dr
Spokane, WA 99203-4400

Mailing address

5150 SW Griffith Dr
Beaverton, OR 97005-2935
Phone (503) 646-5186

Other identifiers 1

IdentifierTypeStateIssuer
AP60204231OtherWAARNP STATE LICENSE

Other names 1

  • Touchmark Nurse Practitioner Services Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150421000942 WA Part B Supplier - Clinic/Group Practice 4183648058 Receives reassigned benefits from 1 practitioner
Practice locations: Spokane, WA

National Provider Directory

National Provider Directory
Tax ID family
Touchmark Nurse Practitioner Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1093107328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 SW GRIFFITH DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052935",
            "telephone_number": "503-646-5186",
            "fax_number": "503-644-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 S WATERFORD DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992034400",
            "telephone_number": "509-536-2929",
            "fax_number": "509-536-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOUCHMARK ON SOUTH HILL LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "PRYOR",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "503-646-5186"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60204231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP STATE LICENSE",
            "identifier": "AP60204231",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Touchmark Nurse Practitioner Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Touchmark Nurse Practitioner Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.