Organization Active NPI

Alchemy Med PLLC

  • Family Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1427724392
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ALCHEMY MED PLLC
Doing business as
Alchemy Med
Practice address
601 Main St Ste 409
Vancouver, WA 98660-3414
Phone
(360) 214-9191
NPI assigned
Aug 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Authorized official

Name
Ms. Liesel Tower, ARNP
Title
Provider
Phone
(360) 214-9191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

601 Main St Ste 409
Vancouver, WA 98660-3414

Mailing address

601 Main St Ste 409
Vancouver, WA 98660-3414
Phone (360) 214-9191

Other names 1

  • Alchemy Med Doing business as

National Provider Directory

National Provider Directory

Locations

601 Main St
Ste 409
Vancouver, WA 98660
Phone (360) 214-9191

NPI Registry JSON

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1427724392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MAIN ST STE 409",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603414",
            "telephone_number": "360-214-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MAIN ST STE 409",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603414",
            "telephone_number": "360-214-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCHEMY MED PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "TOWER",
        "authorized_official_first_name": "LIESEL",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "360-214-9191",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alchemy Med",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 19, 2021; 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.