Nicole Brianne Chryst, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00022961 Issued in WA

Practice address

1017 4TH Ave E
Olympia, WA 98506-4016

Phone

(360) 539-7726

Fax

(360) 539-7729

NPI assigned

Jan 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole Brianna Lapraim Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Ballaura Incorporated

  • Specialist
  • Olympia, WA
  • NPI 1053564666
  NPD

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1124177209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5728",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985095728",
            "telephone_number": "360-539-7726",
            "fax_number": "360-539-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 4TH AVE E",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064016",
            "telephone_number": "360-539-7726",
            "fax_number": "360-539-7729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRYST",
        "first_name": "NICOLE",
        "middle_name": "BRIANNE",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00022961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "LAPRAIM",
            "middle_name": "BRIANNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeffrey Charles Christenson, MD
• Heather Jane Christian
• Heath Christianson, FNP-BC
• Carin Lea Christy, LMHC
• Samantha Christy
• Angela Renee Chung, DPT
• Vinh Quoc Chung, DPT
• Gloria Chunn, BA
• Daniel Arthur Churches, P.T.
• Maria Ciani, M.D.

• Specialist in Olympia, WA
• Providers in Olympia, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.