Individual provider Active NPI

Derek Simpson, D.C., N.D.

  • Chiropractor
  • Tumwater, WA
National Provider Identifier
1154630069
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR.CH.60836756 Issued in WA
Practice address
6009 Capitol Blvd SW Ste 103C
Tumwater, WA 98501-5295
Phone
(360) 338-3735
Fax
(360) 338-3742
NPI assigned
Sep 28, 2010
Last updated
Jun 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NT60736006 WA
Chiropractor 111N00000X CHIR.CH.60836756 WA Primary

Addresses

Primary practice location

6009 Capitol Blvd SW Ste 103C
Tumwater, WA 98501-5295

Mailing address

710 Highway 603
Chehalis, WA 98532-9064
Phone (815) 507-6208

Other practice location 1

710 Highway 603
Chehalis, WA 98532-9064
Phone (815) 507-6208

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
CHIR.CH.60836756WAMDChiropractor
NT60736006WAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Living Well Chiropractic Inc. PC. Chiropractor Current Accepting new patients
Nerve Naturopathy PLLC Chiropractor CurrentSince May 4, 2025 Accepting new patients

Locations

6009 Capitol Blvd SW
Ste 103C
Tumwater, WA 98501
Phone (360) 338-3735

1412 Yelm Ave E
Ste C101
Yelm, WA 98597
Phone (360) 458-7533

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1154630069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 HIGHWAY 603",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985329064",
            "telephone_number": "815-507-6208",
            "fax_number": "360-338-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6009 CAPITOL BLVD SW STE 103C",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985015295",
            "telephone_number": "360-338-3735",
            "fax_number": "360-338-3742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 Highway 603",
            "address_purpose": "LOCATION",
            "city": "Chehalis",
            "state": "WA",
            "postal_code": "985329064",
            "country_code": "US",
            "telephone_number": "815-507-6208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "D.C., N.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-28",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60736006",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CHIR.CH.60836756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.