Individual provider Active NPI

Sara Marie Nulle, D.C.

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1093016198
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60191431 Issued in WA
Practice address
925 8TH Ave N
Seattle, WA 98109-6304
Phone
(206) 957-9050
NPI assigned
Nov 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60191431 WA Primary

Addresses

Primary practice location

925 8TH Ave N
Seattle, WA 98109-6304

Mailing address

312 2ND Ave W Apt 709
Seattle, WA 98119-4127
Phone (970) 390-5734

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

State licenses

LicenseStateTypeSpecialty
5017ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Heresco Chiropractic and Associates PC Chiropractor PastSince Sep 1, 1999 Accepting new patients
Zephyr Chiropractic Chiropractor Past Accepting new patients

Organizations & group practices 2

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": "1288915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288915200000",
    "number": "1093016198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 2ND AVE W APT 709",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981194127",
            "telephone_number": "970-390-5734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 8TH AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981096304",
            "telephone_number": "206-957-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NULLE",
        "first_name": "SARA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-05",
        "last_updated": "2010-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60191431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; 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.