NPIMap

Organization Active NPI

Dr. Lisa M. Nelsen, PLLC

  • Chiropractor
  • Bellingham, WA
National Provider Identifier
1275065989
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002521 Issued in WA
Legal business name
DR. LISA M. NELSEN, PLLC
Practice address
2029 James St
Bellingham, WA 98225-4233
Phone
(360) 676-4488
Fax
(360) 647-5587
NPI assigned
Mar 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Authorized official

Name
Anna F Erickson
Title
Office Manager
Phone
(360) 676-4488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
248270-001OtherWAKAISER PERMANENTE OF WASHINGTON
4542NEOtherWABLUE CROSS/BLUE SHIELD
0074308OtherWALABOR & INDUSTRIES OF WA

National Provider Directory

National Provider Directory

Locations

2029 James St
Bellingham, WA 98225
Phone (360) 676-4488

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1275065989",
    "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": {
        "organization_name": "DR. LISA M. NELSEN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-676-4488"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PERMANENTE OF WASHINGTON",
            "identifier": "248270-001",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "4542NE",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES OF WA",
            "identifier": "0074308",
            "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.

Verify at the official NPI Registry.