Organization Active NPI

Cascade Mobile Care, PLLC

  • Family Nurse Practitioner
  • Bellingham, WA
National Provider Identifier
1679587018
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30006650 Issued in WA
Legal business name
CASCADE MOBILE CARE, PLLC
Practice address
2728 Alvarado Dr
Bellingham, WA 98229-2306
Phone
(360) 738-7040
Fax
(360) 734-3146
NPI assigned
Jul 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Aaron Gregory Misiuk, AP30006650
Title
Family Nurse Practitioner
Phone
(360) 738-7040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X AP30006650 WA Primary

Addresses

Primary practice location

2728 Alvarado Dr
Bellingham, WA 98229-2306

Mailing address

2728 Alvarado Dr
Bellingham, WA 98229-2306
Phone (360) 738-7040

Other identifiers 1

IdentifierTypeStateIssuer
9643800MedicaidWA

Other names 1

  • Cascade Mobile Care 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": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679587018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 ALVARADO DR",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982292306",
            "telephone_number": "360-738-7040",
            "fax_number": "360-734-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 ALVARADO DR",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982292306",
            "telephone_number": "360-738-7040",
            "fax_number": "360-734-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE MOBILE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MISIUK",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "360-738-7040",
        "authorized_official_credential": "AP30006650"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30006650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9643800",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascade Mobile Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.