Active NPI
Nicole Halfman, LCPO
- Prosthetist
- Vancouver, WA
National Provider Identifier
1386538833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- PS61620699
- Practice address
- 8614 E Mill Plain Blvd Ste 110
Vancouver, WA 98664-2058 - Phone
- (360) 213-2088
- Fax
- (360) 213-0311
- NPI assigned
- Jun 6, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthotist | 222Z00000X | OI61494436 | WA | |
| Prosthetist | 224P00000X | PS61620699 | WA | Primary |
Addresses
Primary practice location
8614 E Mill Plain Blvd Ste 110
Vancouver, WA 98664-2058
Mailing address
4586 Blue Sky CT SE
Salem, OR 97317-6025
Phone (503) 510-4103
Other practice location 1
2121 NE 139th St Ste 225
Vancouver, WA 98686-2301
Phone (360) 322-3842
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 |
|---|---|---|---|
| OI61494436 | WA | MD | Orthotist |
| PS61620699 | WA | MD | Prosthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evergreen Prosthetics and Orthotics, LLC | Past | Accepting new patients | |
| Colorado Orthotic & Prosthetic Services, LLC | Orthotist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Prosthetic/Orthotic Supplier
- Denver, CO
- NPI 1861492621
Orthotist
-
- Prosthetic/Orthotic Supplier
- Portland, OR
- NPI 1790353589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749168000000",
"number": "1386538833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4586 BLUE SKY CT SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973176025",
"telephone_number": "503-510-4103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8614 E MILL PLAIN BLVD STE 110",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986642058",
"telephone_number": "360-213-2088",
"fax_number": "360-213-0311"
}
],
"practiceLocations": [
{
"address_1": "2121 NE 139th St Ste 225",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986862301",
"country_code": "US",
"telephone_number": "360-322-3842",
"fax_number": "360-322-3843",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALFMAN",
"first_name": "NICOLE",
"credential": "LCPO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-06",
"last_updated": "2025-06-06",
"certification_date": "2025-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "WA",
"license": "OI61494436",
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "WA",
"license": "PS61620699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.