Cascade Health and Wellness

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

205732829 Issued in AL

Legal business name

CASCADE HEALTH AND WELLNESS

Practice address

1311 Decatur Hwy
Fultondale, AL 35068-1737

Phone

(205) 841-6737

NPI assigned

Aug 10, 2007

Last updated

Jun 18, 2008By 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. Gina Marie Nelson, MD

Title

President/Owner

Phone

(205) 841-6737

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Ted L Smith, D.C.

  • Chiropractor
  • Fultondale, AL
  • NPI 1992973903
  NPD (past)

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1265624662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 DECATUR HWY",
            "city": "FULTONDALE",
            "state": "AL",
            "postal_code": "350681737",
            "telephone_number": "205-841-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 DECATUR HWY",
            "city": "FULTONDALE",
            "state": "AL",
            "postal_code": "350681737",
            "telephone_number": "205-841-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "205-841-6737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AL",
            "license": "205732829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1548473630",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Willem Baker, PMHNP
• Matthew Blankensopp
• Brooke Hill,Licsw,LLC
• Emily Burns, CRNP
• Tracy Carter, RPH
• Chambers Family Dentistry LLC
• Faye Marie Chambers, DENTIST
• City of Fultondale
• John Christopher Clarke, DMD
• Latosha Clayton

• Clinic/Center in Fultondale, AL
• Providers in Fultondale, AL by specialty
• Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.