Individual provider Active NPI

Deborah Emde, LMP

  • Specialist
  • Mount Vernon, WA
National Provider Identifier
1265760326
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00017514 Issued in WA
Practice address
2017 Continental PL Ste 1
Mount Vernon, WA 98273-5649
Phone
(360) 424-3900
NPI assigned
Dec 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00017514 WA Primary

Addresses

Primary practice location

2017 Continental PL Ste 1
Mount Vernon, WA 98273-5649

Mailing address

2017 Continental PL Ste 1
Mount Vernon, WA 98273-5649
Phone (360) 424-3900

Other identifiers 1

IdentifierTypeStateIssuer
0165369OtherWAL & I

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA00017514WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Emde Chiropractic PS PastSince Jan 3, 2012 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": "1259625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259625600000",
    "number": "1265760326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 CONTINENTAL PL STE 1",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735649",
            "telephone_number": "360-424-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 CONTINENTAL PL STE 1",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735649",
            "telephone_number": "360-424-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMDE",
        "first_name": "DEBORAH",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-01",
        "last_updated": "2009-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00017514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0165369",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.