Individual provider Active NPI

Nina F. Shecter, PHD

  • Psychologist
  • Lacey, WA
National Provider Identifier
1073653697
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY00003563 Issued in WA
Practice address
677 Woodland Square Loop SE # B3
Lacey, WA 98503-1000
Phone
(360) 250-8422
Fax
(360) 628-8565
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY00003563 WA Primary

Addresses

Primary practice location

677 Woodland Square Loop SE # B3
Lacey, WA 98503-1000

Mailing address

6139 Tiger Tail Dr SW
Olympia, WA 98512-2137
Phone (360) 250-8422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Julie Kinn LLC PastSince Aug 14, 2014 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1073653697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6139 TIGER TAIL DR SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985122137",
            "telephone_number": "360-250-8422",
            "fax_number": "360-628-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 WOODLAND SQUARE LOOP SE # B3",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031000",
            "telephone_number": "360-250-8422",
            "fax_number": "360-628-8565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHECTER",
        "first_name": "NINA",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY00003563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.