NPIMap

Organization Active NPI

Allied Pain Management LLC

  • Family Nurse Practitioner
  • Yelm, WA
National Provider Identifier
1558628891
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30007081 Issued in WA
Legal business name
ALLIED PAIN MANAGEMENT LLC
Practice address
10501 Creek St SE Ste 2
Yelm, WA 98597-9805
Phone
(360) 894-4702
NPI assigned
Apr 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Authorized official

Name
Erin Joan Henderson, ARNP
Title
Nurse Practitioner
Phone
(360) 894-4702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X AP30007081 WA Primary

Addresses

Primary practice location

10501 Creek St SE Ste 2
Yelm, WA 98597-9805

Mailing address

PO Box 1960
Yelm, WA 98597-1960
Phone (360) 894-4702

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1558628891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1960",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985971960",
            "telephone_number": "360-894-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 CREEK ST SE STE 2",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985979805",
            "telephone_number": "360-894-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "360-894-4702",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30007081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yelm, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.