Organization Active NPI

Northwest Medical Specialty Evaluations PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Spokane, WA
National Provider Identifier
1811266745
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
MD00048246 Issued in WA
Legal business name
NORTHWEST MEDICAL SPECIALTY EVALUATIONS PLLC
Practice address
421 W Riverside Ave
Ste#760
Spokane, WA 99201-0405
Phone
(509) 588-7340
Fax
(509) 588-7334
NPI assigned
Dec 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Authorized official

Name
Ms. Kathleen Sue Cave
Title
Account Manager
Phone
(509) 588-7340

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X MD00048246 WA Primary

Addresses

Primary practice location

421 W Riverside Ave
Ste#760
Spokane, WA 99201-0405

Mailing address

421 W Riverside Ave
Ste#760
Spokane, WA 99201-0405
Phone (509) 588-7340

Other names 1

  • Functional Capacity Solutions Doing business as

National Provider Directory

National Provider Directory

Locations

421 W Riverside Ave
Ste 760
Spokane, WA 99201
Phone (509) 588-7340

Practitioners & affiliated clinicians

Practitioners 3

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": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1811266745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W RIVERSIDE AVE",
            "address_2": "STE#760",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010405",
            "telephone_number": "509-588-7340",
            "fax_number": "509-588-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W RIVERSIDE AVE",
            "address_2": "STE#760",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010405",
            "telephone_number": "509-588-7340",
            "fax_number": "509-588-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST MEDICAL SPECIALTY EVALUATIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "CAVE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "509-588-7340",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "WA",
            "license": "MD00048246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Functional Capacity Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.