Organization Active NPI

Cascade Interventional Pain Center

  • Pain Management Registered Nurse
  • Tacoma, WA
National Provider Identifier
1568645547
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Management Registered NurseTaxonomy code 163WP0000X
Legal business name
CASCADE INTERVENTIONAL PAIN CENTER
Practice address
1818 S Union
Stuite 1a
Tacoma, WA 98405
Phone
(253) 627-2666
Fax
(253) 627-8661
NPI assigned
Dec 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Vidya K Iyengar
Title
Office Manager
Phone
(253) 627-2666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Management Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WP0000X Primary

Addresses

Primary practice location

1818 S Union
Stuite 1a
Tacoma, WA 98405

Mailing address

PO Box 111750
Tacoma, WA 98411-1750
Phone (253) 627-2666

National Provider Directory

National Provider Directory
Tax ID family
Cascade Interventional Pain Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1568645547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111750",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984111750",
            "telephone_number": "253-627-2666",
            "fax_number": "253-627-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 S UNION",
            "address_2": "STUITE 1A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98405",
            "telephone_number": "253-627-2666",
            "fax_number": "253-627-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE INTERVENTIONAL PAIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "IYENGAR",
        "authorized_official_first_name": "VIDYA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "253-627-2666"
    },
    "taxonomies": [
        {
            "code": "163WP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Pain Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.