Active NPI
Lisa M Nelsen, D.C.
- Chiropractor
- Bellingham, WA
National Provider Identifier
1184735110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00002521
- Practice address
- 2029 James St
Bellingham, WA 98225-4233 - Phone
- (360) 676-4488
- Fax
- (360) 647-5587
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00002521 | WA | Primary |
Addresses
Primary practice location
2029 James St
Bellingham, WA 98225-4233
Mailing address
2029 James St
Bellingham, WA 98225-4233
Phone (360) 676-4488
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 248270-001 | Other | WA | GROUP HEALTH |
| 0074308 | Other | WA | LABOR & INDUSTRIES |
| 4542NE | Other | WA | BLUE CROSS/BLUE SHIELD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490918400000",
"number": "1184735110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2029 JAMES ST",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982254233",
"telephone_number": "360-676-4488",
"fax_number": "360-647-5587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2029 JAMES ST",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982254233",
"telephone_number": "360-676-4488",
"fax_number": "360-647-5587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSEN",
"first_name": "LISA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2017-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00002521",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH",
"identifier": "248270-001",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "0074308",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "4542NE",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.