OrganizationActive
Cascade Headache, LLC
NPI 1083400311 · Nurse Practitioner · Fife, WA
Provider details
- NPI number
- 1083400311
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Samuel Urkov, Owner(253) 220-4635
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4505 Pacific Hwy E Ste C2
Fife, WA 98424-2638
Phone: (253) 220-4635
Street-level locationGet directions
Mailing address
4505 Pacific Hwy E Ste C2
Fife, WA 98424-2638
Other names (DBA / former)
- Doing business as
- Cascade Headache
Registry dates
- Enumerated
- 2025-04-15
- Last updated
- 2025-09-02
- Certified
- 2025-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.