Cup of Cool Water

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

CUP OF COOL WATER

Practice address

1106 W 2ND Ave
Spokane, WA 99201-4506

Phone

(509) 747-6686

NPI assigned

Mar 16, 2022

Organization subpart

No

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

Authorized official

Name

Blake Randolph Waltman

Title

Executive Director

Phone

(509) 747-6686

Specialties & licenses 1

Addresses

Other names 1

• CUP OF COOL WATER Other name

Locations

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1730837899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 W 2ND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992014506",
            "telephone_number": "509-747-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 W 2ND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992014506",
            "telephone_number": "509-747-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUP OF COOL WATER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "WALTMAN",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "RANDOLPH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "509-747-6686"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CUP OF COOL WATER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gretchen I Cunningham, LMP
• Heather E Cunningham, M.D.
• Michael H Cunningham Sr., M.D.
• Tyler Brian Cunningham, DO
• Cynthea Anne Cunninghamm, Ms Corp, MS
• Brenna Brielle Curbow, LMSW
• Crystal Mabel Curiel
• Michele Pace Curl, CRNA
• Aaron Curn, CPC
• Alfred John Curnow, M.D.

• Marriage & Family Therapist in Spokane, WA
• Providers in Spokane, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.