NPIMap

Organization Active NPI

Washington Pain and Spine Specialists LLC

  • Durable Medical Equipment & Medical Supplies
  • Everett, WA
National Provider Identifier
1437082013
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WASHINGTON PAIN AND SPINE SPECIALISTS LLC
Practice address
3305 Nassau St
Everett, WA 98201-4140
Phone
(206) 895-1825
NPI assigned
Jun 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Praveen Kumar MambalamNPI 1790942886
Title
President
Phone
(206) 895-1825

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3305 Nassau St
Everett, WA 98201-4140

Mailing address

4957 Lakemont Blvd SE Ste C-425
Bellevue, WA 98006-7801
Phone (206) 895-1825

Other practice location 1

1010 S 336th St
Federal Way, WA 98003-6385
Phone (206) 895-1825

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1780531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1437082013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4957 LAKEMONT BLVD SE STE C-425",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980067801",
            "telephone_number": "206-895-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 NASSAU ST",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014140",
            "telephone_number": "206-895-1825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 S 336th St",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980036385",
            "country_code": "US",
            "telephone_number": "206-895-1825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WASHINGTON PAIN AND SPINE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-04",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "MAMBALAM",
        "authorized_official_first_name": "PRAVEEN",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-895-1825"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.