Organization Active NPI

Cascade Allergy Center

  • Adult Health Nurse Practitioner
  • Bellevue, WA
National Provider Identifier
1477061844
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP60118915 Issued in WA
Legal business name
CASCADE ALLERGY CENTER
Practice address
14205 SE 36TH St Ste 365
Bellevue, WA 98006-1596
Phone
(206) 261-8355
NPI assigned
Jan 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Authorized official

Name
Vickie Wedlock
Title
Billing/Administration
Phone
(206) 261-8355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LA2200X AP60118915 WA Primary

Addresses

Primary practice location

14205 SE 36TH St Ste 365
Bellevue, WA 98006-1596

Mailing address

14205 SE 36TH St Ste 365
Bellevue, WA 98006-1596

Other identifiers 1

IdentifierTypeStateIssuer
1821320938MedicaidWA

Other names 1

  • Cascade Allergy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1477061844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14205 SE 36TH ST STE 365",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14205 SE 36TH ST STE 365",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061596",
            "telephone_number": "206-261-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE ALLERGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "WEDLOCK",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_title_or_position": "BILLING/ADMINISTRATION",
        "authorized_official_telephone_number": "206-261-8355"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP60118915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821320938",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascade Allergy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.