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CASCADE HEADACHE, LLC
NPI 1083400311
Nurse Practitioner in Fife, WA

Active since April 15, 2025
4505 PACIFIC HWY E STE C2, FIFE, WA 98424(253) 220-4635 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2025, Jun 13, 2025, Jun 3, 2025 and 1 more (4 updates tracked since 2025).

About Cascade Headache, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASCADE HEADACHE, LLC (NPI 1083400311), doing business as Cascade Headache, is a healthcare organization registered as a nurse practitioner in Fife, Washington and active in the NPI registry since April 2025. The organization lists Samuel A Urkov, Owner, as its authorized official.

NPPES Registry Identity

NPI1083400311
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameCASCADE HEADACHE, LLC
Location Address4505 PACIFIC HWY E STE C2Fife, WA 98424-2638
Mailing Address4505 Pacific Hwy E Ste C2Fife, WA 98424-2638
Phone(253) 220-4635
Organization SubpartNo
Authorized OfficialSamuel A UrkovOwner · (253) 220-4635
Enumeration DateApril 15, 2025
Last NPPES UpdateSeptember 2, 20254 updates tracked since enumeration
NPPES CertifiedJune 13, 2025
✔ NPI 1083400311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4505 PACIFIC HWY E STE C2, Fife, WA 98424
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Other Names 1

Doing Business AsCascade Headache

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS LOAN VU MINH PHAM DNP
Nurse Practitioner (Family)
4505 PACIFIC HWY E STE C2
FIFE, WA 98424
Pierce County (714) 880-5065
PAUL ALVES
Nurse Practitioner (Psychiatric/Mental Health)
4505 PACIFIC HWY E STE C2
FIFE, WA 98424
Pierce County (425) 640-7009
BUPE MARTHA M HABIYAMBERE
Nurse Practitioner (Psychiatric/Mental Health)
4505 PACIFIC HWY E STE C2
FIFE, WA 98424
Pierce County (425) 381-6544
DR. SAMUEL A URKOV DNP, FNP-C
Nurse Practitioner (Family)
4505 PACIFIC HWY E STE C2
FIFE, WA 98424
Pierce County (253) 220-4635
COHERENT MINDS
Nurse Practitioner (Psychiatric/Mental Health)
4505 PACIFIC HWY E STE C2
FIFE, WA 98424
Pierce County (425) 381-6544

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cascade Headache, LLC's NPI number?

The NPI number for Cascade Headache, LLC is 1083400311. It was assigned to this organization in the NPPES registry on April 15, 2025. The provider is doing business as Cascade Headache.

Where is Cascade Headache, LLC located?

Cascade Headache, LLC is located at 4505 Pacific Hwy E Ste C2, Fife, WA 98424. The listed phone number is (253) 220-4635.

What is Cascade Headache, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Cascade Headache, LLC was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.