Active NPI
Nicole Kristine Heilsberg, L.M.P., D.C.
- Chiropractor
- Pullman, WA
National Provider Identifier
1356650576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 60540639
- Practice address
- 1035 NW Nye St
Pullman, WA 99163-3428 - Phone
- (509) 334-1241
- NPI assigned
- Oct 5, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | MA00022917 | WA | |
| Chiropractor | 111N00000X | CH 60540639 | WA | Primary |
Addresses
Primary practice location
1035 NW Nye St
Pullman, WA 99163-3428
Mailing address
107 N Skyview Dr
Colfax, WA 99111-1994
Phone (509) 397-2602
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
| License | State | Type | Specialty |
|---|---|---|---|
| CH 60540639 | WA | MD | Chiropractor |
| MA00022917 | WA | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437004800000",
"number": "1356650576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 N SKYVIEW DR",
"city": "COLFAX",
"state": "WA",
"postal_code": "991111994",
"telephone_number": "509-397-2602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 NW NYE ST",
"city": "PULLMAN",
"state": "WA",
"postal_code": "991633428",
"telephone_number": "509-334-1241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEILSBERG",
"first_name": "NICOLE",
"middle_name": "KRISTINE",
"name_prefix": "Miss",
"credential": "L.M.P., D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-05",
"last_updated": "2015-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "WA",
"license": "MA00022917",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH 60540639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pullman, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.