Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CASCADE HEADACHE, PLLC
NPI 1083400311
Nurse Practitioner in Lacey, WA

Q: What is Cascade Headache, PLLC's NPI number?

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

Q: What is Cascade Headache, PLLC's specialty?

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

Active since April 15, 2025

4405 7TH AVE. SE, SUITE 200, PMB 2872, LACEY, WA 98503(253) 220-4635(253) 237-9326 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 12, 2026, Sep 2, 2025, Jun 13, 2025 and 2 more (5 updates tracked since 2025).

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About Cascade Headache, Pllc NPPES

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

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

NPPES Registry Identity

NPI1083400311

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameCASCADE HEADACHE, PLLC

Location Address4405 7TH AVE. SE, SUITE 200, PMB 2872Lacey, WA 98503

Mailing Address4405 7th Ave. Se, Suite 200, Pmb 2872Lacey, WA 98503

Phone(253) 220-4635

Fax(253) 237-9326

Organization SubpartNo

Authorized OfficialSamuel A UrkovOwner & Provider · (253) 220-4635

Enumeration DateApril 15, 2025

Last NPPES UpdateAugust 12, 20265 updates tracked since enumeration

NPPES CertifiedAugust 12, 2026

✔ 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.

4405 7TH AVE. SE, Lacey, WA 98503

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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

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, PLLC's NPI number?

The NPI number for Cascade Headache, PLLC 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, PLLC located?

Cascade Headache, PLLC is located at 4405 7th Ave. SE Suite 200, Pmb 2872, Lacey, WA 98503. The listed phone number is (253) 220-4635.

What is Cascade Headache, PLLC'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, PLLC was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.