Cascade Integrative Medicine, PLLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

NT60121488 Issued in WA

Legal business name

CASCADE INTEGRATIVE MEDICINE, PLLC

Doing business as

Cascade Integrative Medicine

Practice address

450 NW Gilman Blvd
Ste 201
Issaquah, WA 98027

Phone

(425) 391-5270

Fax

(425) 391-8091

NPI assigned

Apr 11, 2016

Last updated

Nov 1, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

CASCADE INTEGRATIVE MEDICINE, PLLCAs reported in NPPES

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

Authorized official

Name

Omar Jameel Shah, PHD

Title

Vice President

Phone

(425) 391-5270

Specialties & licenses 1

Addresses

Other names 1

• Cascade Integrative Medicine Doing business as

Part of

Cascade Integ Med PLLC

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.

• Cascade Integrative Medicine, PLLC

  • Naturopath
  • Issaquah, WA
  • NPI 1346669645
  NPPES parent name

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1255795738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 NW GILMAN BLVD",
            "address_2": "STE 201",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "98027",
            "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",
            "address_2": "STE 201",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "98027",
            "telephone_number": "425-391-5270",
            "fax_number": "425-391-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE INTEGRATIVE MEDICINE, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CASCADE INTEGRATIVE MEDICINE, PLLC",
        "enumeration_date": "2016-04-11",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "JAMEEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "425-391-5270",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "WA",
            "license": "NT60121488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascade Integrative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott Cartwright
• Meghan Louise Cary-Neihardt, LMP
• Cascade Foot & Ankle
• Cascade Foot & Ankle Specialists Inc. (Issaquah Foot & Ankle Specialists Inc.)
• Cascade Foot and Ankle
• Cascade Integrative Medicine, PLLC
• Cascade Pediatrics
• Cascade Regenerative Medicine LLC
• Stephan L Cassidy, O.D.
• Anita Cassis, MD

• 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 Nov 1, 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.