Active NPI
Touchmark on South Hill LP
- Nurse Practitioner
- Spokane, WA
National Provider Identifier
1093107328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP60204231
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP60204231 | Other | WA | ARNP STATE LICENSE |
Other names 1
- Touchmark Nurse Practitioner Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Touchmark Nurse Practitioner Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Spokane, WA
- NPI 1063671030
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
- Spokane, WA
- NPI 1235435009
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.