Organization Active NPI

Fasa Family Wellness PLLC

Doing business as Cascade Foot & Ankle PLLC

  • Foot & Ankle Surgery Podiatrist
  • Yakima, WA
National Provider Identifier
1871506444
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO00000565 Issued in WA
Legal business name
FASA FAMILY WELLNESS PLLC
Doing business as
Cascade Foot & Ankle PLLC
Practice address
2400 Racquet LN
Yakima, WA 98902-6109
Phone
(509) 225-3668
Fax
(509) 225-3448
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Authorized official

Name
Rosalie Kreighbaum
Title
Regional Credentialing Specialist
Phone
(314) 909-1920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO00000565 WA Primary

Addresses

Primary practice location

2400 Racquet LN
Yakima, WA 98902-6109

Mailing address

PO Box 825159
Philadelphia, PA 19182-5159
Phone (866) 626-1540

Other names 1

  • Cascade Foot & Ankle PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061221000070 WA Part B Supplier - Clinic/Group Practice 9931108917 Receives reassigned benefits from 5 practitioners
Practice locations: Ellensburg, WA; Yakima, WA
O20100930033098 WA DME Supplier - Physician - Podiatry 9931108917 Practice locations: Yakima, WA

National Provider Directory

National Provider Directory

Locations

100 E Jackson Ave
Ste 105
Ellensburg, WA 98926
Phone (509) 249-3900

1336 S Pioneer Way
Ste 101
Moses Lake, WA 98837
Phone (509) 765-4431

Practitioners & affiliated clinicians

Practitioners 7

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": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1871506444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 825159",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191825159",
            "telephone_number": "866-626-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 RACQUET LN",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989026109",
            "telephone_number": "509-225-3668",
            "fax_number": "509-225-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASA FAMILY WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "KREIGHBAUM",
        "authorized_official_first_name": "ROSALIE",
        "authorized_official_title_or_position": "REGIONAL CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "314-909-1920"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO00000565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascade Foot & Ankle PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.