NPIMap

Organization Active NPI

Northwest Asthma Allergy Center

Doing business as Allergy & Asthma Centers of Olympia

  • Specialist
  • Olympia, WA
National Provider Identifier
1700216223
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD00042579 Issued in WA
Legal business name
NORTHWEST ASTHMA ALLERGY CENTER
Doing business as
Allergy & Asthma Centers of Olympia
Practice address
3525 Ensign Rd NE
Suite E
Olympia, WA 98506-5065
Phone
(360) 896-2222
Fax
(360) 896-8881
NPI assigned
Nov 19, 2013
Last updated
Nov 19, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHWEST ASTHMA ALLERGY CENTERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Authorized official

Name
Mrs. Cassie Le
Title
Receptionist
Phone
(360) 896-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X MD00042579 WA Primary

Addresses

Primary practice location

3525 Ensign Rd NE
Suite E
Olympia, WA 98506-5065

Mailing address

PO Box 821046
Vancouver, WA 98682-0024
Phone (360) 896-2222

Other identifiers 1

IdentifierTypeStateIssuer
7119860MedicaidWA

Other names 1

  • Allergy & Asthma Centers of Olympia Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Allergy Asthma Centers of the NW4 organizations share this tax ID, including this one
Part of
Allergy Asthma Centers of the NW

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1700216223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 821046",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986820024",
            "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": "3525 ENSIGN RD NE",
            "address_2": "SUITE E",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065065",
            "telephone_number": "360-896-2222",
            "fax_number": "360-896-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ASTHMA ALLERGY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST ASTHMA ALLERGY CENTERS",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "360-896-2222",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00042579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7119860",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy & Asthma Centers of Olympia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.