Active NPI
Nicole Justine Adamson, D.C.
- Chiropractor
- Lacey, WA
National Provider Identifier
1407081391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60082274
- Practice address
- 4631 Whitman Lane
Suite B
Lacey, WA 98513 - Phone
- (360) 923-1717
- Fax
- (360) 923-0404
- NPI assigned
- May 20, 2009
- 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 | CH60082274 | WA | Primary |
Addresses
Primary practice location
4631 Whitman Lane
Suite B
Lacey, WA 98513
Mailing address
4631 Whitman Lane SE
Suite B
Lacey, WA 98513
Phone (360) 923-1717
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 |
|---|---|---|---|
| CH60082274 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318464000000",
"number": "1407081391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4631 WHITMAN LANE SE",
"address_2": "SUITE B",
"city": "LACEY",
"state": "WA",
"postal_code": "98513",
"telephone_number": "360-923-1717",
"fax_number": "360-923-0404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4631 WHITMAN LANE",
"address_2": "SUITE B",
"city": "LACEY",
"state": "WA",
"postal_code": "98513",
"telephone_number": "360-923-1717",
"fax_number": "360-923-0404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMSON",
"first_name": "NICOLE",
"middle_name": "JUSTINE",
"name_prefix": "Miss",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-20",
"last_updated": "2011-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60082274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.