NPIMap

Organization Active NPI

Cascade Medical Care,LLC

  • Licensed Practical Nurse
  • Bend, OR
National Provider Identifier
1700318755
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
200550094NP Issued in OR
Legal business name
CASCADE MEDICAL CARE,LLC
Practice address
2408 NE Division St
Bend, OR 97703-3543
Phone
(541) 382-7521
Fax
(541) 382-6297
NPI assigned
Mar 29, 2017
Last updated
Mar 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Authorized official

Name
Yvette Gaynor, NP
Title
Nurse Practitioner
Phone
(541) 923-3970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X 200550094NP OR Primary

Addresses

Primary practice location

2408 NE Division St
Bend, OR 97703-3543

Mailing address

1228 NW Canal Blvd
Redmond, OR 97756-1335
Phone (541) 923-3970

National Provider Directory

National Provider Directory

Locations

2408 NE Division St
Bend, OR 97703
Phone (541) 382-7521

Practitioners & affiliated clinicians

Practitioners 7

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": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1700318755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 NW CANAL BLVD",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561335",
            "telephone_number": "541-923-3970",
            "fax_number": "541-699-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 NE DIVISION ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977033543",
            "telephone_number": "541-382-7521",
            "fax_number": "541-382-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE MEDICAL CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "GAYNOR",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "541-923-3970",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "200550094NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.