Cascade Dermatology Plus LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

CASCADE DERMATOLOGY PLUS LLC

Practice address

700 E Mountain View Ave Ste 503
Ellensburg, WA 98926-4802

Phone

(509) 306-9175

NPI assigned

Nov 22, 2023

Organization subpart

No

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

Authorized official

Name

Karen C Ely, ARNPNPI 1811297401

Title

Nurse Practitioner

Phone

(509) 306-9175

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

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

• Karen C Ely, FNP, ARNP

  • Family Nurse Practitioner
  • Ellensburg, WA
  • NPI 1811297401
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701475200000",
    "number": "1255106969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 HAROLD RD",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989268688",
            "telephone_number": "509-306-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E MOUNTAIN VIEW AVE STE 503",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989264802",
            "telephone_number": "509-306-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE DERMATOLOGY PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-12-02",
        "certification_date": "2023-12-02",
        "status": "A",
        "authorized_official_last_name": "ELY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "509-306-9175",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilynn G Carr, M.D.
• Megan Carr
• Zachary Carr, PTA
• Mayra K Carvajal-Gonzalez
• Sabrina Carvalho
• Cascade Recovery Resource Center, LLC
• Michele Ann Cawley, R.N.
• Central Dentures LLC
• Central Hand Therapy, PC
• Central Washington Chiropractic Inc.

• Nurse Practitioner in Ellensburg, WA
• Providers in Ellensburg, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2023; 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.