Alpine Lakes Family Practice, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

OP00002272 Issued in WA

Legal business name

ALPINE LAKES FAMILY PRACTICE, PLLC

Practice address

112 W Railroad St
Suite #200
Cle Elum, WA 98922-1131

Phone

(509) 674-5344

Fax

(509) 674-5704

NPI assigned

Feb 2, 2009

Last updated

Feb 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Samuel E Schneider, DO

Title

Manager

Phone

(509) 674-5344

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1235377987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W RAILROAD ST",
            "address_2": "SUITE #200",
            "city": "CLE ELUM",
            "state": "WA",
            "postal_code": "989221131",
            "telephone_number": "509-674-5344",
            "fax_number": "509-674-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W RAILROAD ST",
            "address_2": "SUITE #200",
            "city": "CLE ELUM",
            "state": "WA",
            "postal_code": "989221131",
            "telephone_number": "509-674-5344",
            "fax_number": "509-674-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE LAKES FAMILY PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "509-674-5344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "OP00002272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Aaron Abramowski, LMP
• American Spine Inc
• David V Arnold, PHARM.D.
• Kristopher Karl Austin, LMP
• Alexandria Barbuscia, MA
• Audrey M Barrett, LICENSED ACUPUNCTURI

• Clinic/Center in Cle Elum, WA
• Providers in Cle Elum, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.