Advanced Pain Care PS

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

ADVANCED PAIN CARE PS

Doing business as

Advanced Pain Care PS

Practice address

205 Lilly Rd NE BLDG B
Ste a
Olympia, WA 98506

Phone

(360) 218-5990

Fax

(866) 308-9873

NPI assigned

Jun 11, 2018

Last updated

Jan 1, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

LAKE WASHINGTON PRIVATE MEDICINE INCAs reported in NPPES

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

Authorized official

Name

Dr. David Keith Naibert, MDNPI 1437169356

Title

Owner

Phone

(206) 200-5867

Specialties & licenses 2

Addresses

Other names 1

• Advanced Pain Care PS Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Lake Washington Private Medicine Inc

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CHIEBD

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Lake Washington Private Medicine Inc

  dba Lake Washington Pain Management

  • Pain Medicine Physician
  • Kirkland, WA
  • NPI 1427109271
  NPPES parent name

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nickole Tiashea Saulsberry, FNP-C

  • Family Nurse Practitioner
  • Olympia, WA
  • NPI 1669998910
  Medicare reassignment Care Compare group NPD
• David Wayne Overton, PA-C

  • Physician Assistant
  • Lacey, WA
  • NPI 1851307003
  Medicare reassignment Care Compare group
• David Keith Naibert Jr., M.D.

  • Pain Medicine Physician
  • Kirkland, WA
  • NPI 1437169356
  NPD Authorized official
• Dylan Miller, DNP

  • Nurse Practitioner
  • Seattle, WA
  • NPI 1275377715
  NPD (past)
• Leonard Stewart Seifter, MD

  • Ophthalmology Physician
  • Olympia, WA
  • NPI 1407843279
  NPD (past)

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704067200000",
    "number": "1114410495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT LA 24793",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911854793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 LILLY RD NE BLDG B",
            "address_2": "STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98506",
            "telephone_number": "360-218-5990",
            "fax_number": "866-308-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAIN CARE PS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKE WASHINGTON PRIVATE MEDICINE INC",
        "enumeration_date": "2018-06-11",
        "last_updated": "2024-01-01",
        "certification_date": "2024-01-01",
        "status": "A",
        "authorized_official_last_name": "NAIBERT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-200-5867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Pain Care PS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ken Addams, DC
• Bridget Adeosun
• Advanced Breast Techonology
• Advanced Family Wellness PS
• Advanced Integrative Movement, LLC (AIM Physical Therapy)
• Advanced Spine Care, P.S.
• Mary Aesoph, AUD
• Hassan Ali Agina
• Monica Agreda Ferran, MEDICAL INTERPRETER
• Krystle Cabales Agtarap, PA

• Physician Assistant in Olympia, WA
• Providers in Olympia, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.