Active NPI
Cascade Allergy Center
- Adult Health Nurse Practitioner
- Bellevue, WA
National Provider Identifier
1477061844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP60118915
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821320938 | Medicaid | WA |
Other names 1
- Cascade Allergy
National Provider Directory
National Provider DirectoryNPI 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.