Organization Active NPI

New Leaf Hyperbarics of Spokane Valley

  • Clinic/Center
  • Spokane Valley, WA
National Provider Identifier
1891145280
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
603583588 Issued in WA
Legal business name
NEW LEAF HYPERBARICS OF SPOKANE VALLEY
Practice address
16201 E Indiana Ave
3260
Spokane Valley, WA 99216-2830
Phone
(509) 315-9119
NPI assigned
Jun 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Authorized official

Name
Ms. Cristah Cavanaugh-M.
Title
Ceo
Phone
(509) 315-9119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 603583588 WA Primary

Addresses

Primary practice location

16201 E Indiana Ave
3260
Spokane Valley, WA 99216-2830

Mailing address

16201 E Indiana Ave
3260
Spokane Valley, WA 99216-2830
Phone (509) 315-9119

National Provider Directory

National Provider Directory
Tax ID family
Angelos Investments LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

16201 E Indiana Ave
Ste 3260
Spokane Valley, WA 99216
Phone (509) 315-9119

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1891145280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16201 E INDIANA AVE",
            "address_2": "3260",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162830",
            "telephone_number": "509-315-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16201 E INDIANA AVE",
            "address_2": "3260",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162830",
            "telephone_number": "509-315-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF HYPERBARICS OF SPOKANE VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "CAVANAUGH-M.",
        "authorized_official_first_name": "CRISTAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-315-9119",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "603583588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.