Organization Active NPI

North West Asthma Allergy Center PC

Doing business as Allergy and Asthma Centers of the NW

  • Family Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1508049917
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
NORTH WEST ASTHMA ALLERGY CENTER PC
Doing business as
Allergy and Asthma Centers of the NW
Practice address
8506 E Mill Plain Blvd Suite a
Vancouver, WA 98664
Phone
(360) 896-2222
Fax
(360) 896-8881
NPI assigned
Dec 7, 2007
Last updated
Nov 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Olga P Tsytsyna, DNPNPI 1558833301
Title
DNP
Phone
(360) 896-2222

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

8506 E Mill Plain Blvd Suite a
Vancouver, WA 98664

Mailing address

8506 E Mill Plain Blvd Suite a
Vancouver, WA 98664
Phone (360) 896-2222

Other names 1

  • Allergy and Asthma Centers of the NW Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040416000412 WA Part B Supplier - Clinic/Group Practice 5092700369 Receives reassigned benefits from 2 practitioners
Practice locations: Vancouver, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2041205Allergy and Asthma Centers of the NW8506 E Mill Plain Blvd Ste a, Vancouver, WA 98664Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

3435 Ensign Rd NE
Ste 320
Olympia, WA 98506

8506 E Mill Plain Blvd
Ste A
Vancouver, WA 98664
Phone (360) 896-2222

Practitioners & affiliated clinicians

Practitioners 4

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": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1508049917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8506 E MILL PLAIN BLVD SUITE A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98664",
            "telephone_number": "360-896-2222",
            "fax_number": "360-896-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8506 E MILL PLAIN BLVD SUITE A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98664",
            "telephone_number": "360-896-2222",
            "fax_number": "360-896-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH WEST ASTHMA ALLERGY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "TSYTSYNA",
        "authorized_official_first_name": "OLGA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DNP",
        "authorized_official_telephone_number": "360-896-2222",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy and Asthma Centers of the NW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.