CASCADE CLINIC WALK IN AND PRIMARY CARE LLC (NPI# 1609121854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609121854 |
| Entity Type | Organization |
| Organization Name | CASCADE CLINIC WALK IN AND PRIMARY CARE LLC |
| Other Organization Name | CASCADE CLINIC |
| Practice Address |
1420 Roosevelt Ave Ste 4 Mount Vernon WA 98273-2687 |
| Practice Telephone | 3608994086 |
| Practice Fax Number | 3608994124 |
| Mailing Telephone | 6089940863 |
| Mailing Fax Number | 3608994124 |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2020-05-07 |
| Authorized Official Name | KATHY BRADFORD (OWNER) |
| Authorized Official Telephone | 3607704690 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR AND INDUSTRIES | 321303 | 01 |
| Other Name | Type Code |
|---|---|
| Cascade Clinic | Doing Business As Name - Organization |
| Cascade Clinic Work Injury and Primary Care | Doing Business As Name - Organization |
| Street Address |
1420 ROOSEVELT AVE STE 4 |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98273-2687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871802769 | Kathy Y Bradford | Nurse Practitioner | 1420 Roosevelt Ave Ste 4, Mount Vernon, WA 98273-2687 | 2010-09-27 |
| 1376192732 | Mackenzie Sproule | Nurse Practitioner | 1420 Roosevelt Ave Ste 4, Mount Vernon, WA 98273-2687 | 2019-09-09 |
| 1578111316 | Tori Frank | Nurse Practitioner | 1420 Roosevelt Ave Ste 4, Mount Vernon, WA 98273-2687 | 2019-08-26 |
| 1871061606 | Anne Marie Hardy | Registered Nurse | 1420 Roosevelt Ave Ste 4, Mount Vernon, WA 98273-2687 | 2018-11-09 |
| 1003362088 | Marcia Rene Kucera | Nurse Practitioner | 1420 Roosevelt Ave Ste 4, Mount Vernon, WA 98273-2687 | 2016-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585849 | Stephanie Marie Partington | Physical Therapist | 1901 Hoad Road, Mount Vernon, WA 98273 | 2020-10-12 |
| 1447866165 | Jennifer I Campos | Interpreter | 1501 Sunset Pl., Unit B, Mount Vernon, WA 98273 | 2020-09-17 |
| 1487217345 | Nicholas Peter Goodman | Student in an Organized Health Care Education/Training Program | Attn: Internal Medicine Residency, 300 Hospital Parkway, Mount Vernon, WA 98273 | 2019-04-17 |
| 1023579430 | Joan Watkins Opyr | Registered Nurse | Telecare North Sound E&t, 7825 North Sound Drive, Sedro-woolley, WA 98273 | 2019-03-28 |
| 1588136188 | Nicholas Bryan Corp | Physical Therapy Assistant | 1901 Hoag Road, Mount Vernon, WA 98273 | 2018-12-20 |
| 1518437300 | Eyonna Mason | Case Manager/Care Coordinator | 1100 52nd St, Mount Vernon, WA 98273 | 2018-12-05 |
| 1023515400 | Evergreen Recovery Centers | Substance Abuse Rehabilitation Facility | 1905 Continental Place, Mount Vernon, WA 98273 | 2018-04-11 |
| 1104320480 | Stacy Anne Black | Marriage & Family Therapist | 2301 Old Hwy 99, Mt. Vernon, WA 98273 | 2018-03-21 |
| 1609387844 | Kerri Jesse | Massage Therapist | 210 N 23rd St, Mount Vernon, WA 98273 | 2017-10-16 |
| 1992225320 | Juana Cleek | Registered Nurse | 330 Pacific Place, Mount Vernon, WA 98273 | 2017-06-27 |
| Find all providers in zip 98273 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851859961 | Lower Westchester Medical Associates, P.C. | Clinic/Center | 105 Stevens Ave Ste 305306, Mount Vernon, NY 10550-2686 | 2019-03-07 |
| 1386817575 | Karen Lee, A.r.n.p., Inc | Clinic/Center | 1725 S 10th St, Mount Vernon, WA 98274-5029 | 2008-04-08 |
| 1366432130 | Prompt Care | Clinic/Center | 2712 Broadway St, Mount Vernon, IL 62864-2342 | 2005-10-24 |
| 1184231979 | Aurora Aesthetics and Functional Medicine Clinic, Pllc | Clinic/Center | 713 1st Ave Nw, Mount Vernon, IA 52314-1478 | 2020-09-25 |
| 1407250624 | Mount Vernon Medical Practice | Clinic/Center | 153 Stevens Ave, Suite 4, Mount Vernon, NY 10550-2543 | 2014-10-17 |
| 1760774848 | Ramesh S. Naik Physicians P.l.l.c. | Clinic/Center | 105 Stevens Ave, 508, Mount Vernon, NY 10550-2686 | 2011-05-09 |
| 1265600332 | James A Rice LLC | Clinic/Center | 232 Walnut St, Mount Vernon, IN 47620-1857 | 2008-02-12 |
| 1023235348 | Anderson Family Practice | Clinic/Center | 3505 Broadway St, Mount Vernon, IL 62864-2202 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992315808 | Vera Whole Health Wa, PC | Clinic/Center | 6700 Fort Dent Way Ste 100, Tukwila, WA 98188-2500 | 2020-08-05 |
| 1063037034 | Pioneer Family Medicine, Pllc | Clinic/Center | 20 E J St Ste 2b, Deer Park, WA 99006-8500 | 2020-06-15 |
| 1922622158 | Vera Whole Health Wa, PC | Clinic/Center | 16009 E Indiana Ave, Spokane Valley, WA 99216 | 2020-06-03 |
| 1578183729 | Family Care Network Pllc | Clinic/Center | 3548 Meridian St, Suite #101-b, Bellingham, WA 98225 | 2020-04-17 |
| 1548800451 | Vera Whole Health Wa PC | Clinic/Center | 1601 N Division St, Spokane, WA 99207-2427 | 2020-01-08 |
| 1821634312 | Columbia Basin Mobile Medicine LLC | Clinic/Center | 1357 Platinum Pl, West Richland, WA 99353-5108 | 2019-11-20 |
| 1063056497 | A Community Wellness Clinic LLC | Clinic/Center | 2405 E 17th Ave Ste 113, Spokane, WA 99223-5122 | 2019-10-29 |
| 1013550987 | Rejuventa Medical Corp. | Clinic/Center | 107 North Tower Ave Suite 17, Centralia, WA 98531-4253 | 2019-10-23 |
| 1023668407 | Vera Whole Health Wa, PC | Clinic/Center | 4933 Evergreen Way, Everett, WA 98203-2828 | 2019-09-17 |
| 1679042501 | Family and Wellness Medicine | Clinic/Center | 34004 16th Ave S Ste 100, Federal Way, WA 98003-8905 | 2018-11-20 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT VERNON |
| Zip Code | 98273 |
Please comment or provide details below to improve the information on CASCADE CLINIC WALK IN AND PRIMARY CARE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.