Cascade Regenerative Medicine LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

CASCADE REGENERATIVE MEDICINE LLC

Practice address

450 NW Gilman Blvd Ste 200
Issaquah, WA 98027-2483

Phone

(425) 391-5270

Fax

(425) 391-8091

NPI assigned

Oct 28, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Rian Nightingale Shah, ND

Title

President

Phone

(425) 391-5270

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1104533223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 NW GILMAN BLVD STE 201",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272722",
            "telephone_number": "425-391-5270",
            "fax_number": "425-391-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 NW GILMAN BLVD STE 200",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272483",
            "telephone_number": "425-391-5270",
            "fax_number": "425-391-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE REGENERATIVE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-28",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RIAN",
        "authorized_official_middle_name": "NIGHTINGALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-391-5270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cascade Foot & Ankle Specialists Inc.
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• Cascade Integrative Medicine, PLLC
• Cascade Integrative Medicine, PLLC
• Cascade Pediatrics
• Stephan L Cassidy, O.D.
• Anita Cassis, MD
• Nicole Y. Castro, PA-C
• Jennifer S Cataldi, PH.D.
• Cathy Gilbert LMHC PLLC

• Non-Pharmacy Dispensing Site in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Non-Pharmacy Dispensing Site in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.