Dustin Norman

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA61223093 Issued in WA

Practice address

5952 Blackstone Way
Nine Mile Falls, WA 99026-4900

Phone

(509) 464-3627

NPI assigned

Aug 24, 2020

Last updated

Mar 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dustin.norman.1@18424.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Health Programs Association

  dba NEW Health Chewelah Medical

  • Federally Qualified Health Center (FQHC)
  • Chewelah, WA
  • NPI 1679537575
  Medicare reassignment
• New Health Programs Association

  dba NEW Health Northport Medical

  • Federally Qualified Health Center (FQHC)
  • Northport, WA
  • NPI 1316994247
  NPD
• New Health Programs Association

  dba NEW Health Springdale Medical

  • Federally Qualified Health Center (FQHC)
  • Springdale, WA
  • NPI 1104880004
  NPD (past)
• New Health Programs Association

  • Federally Qualified Health Center (FQHC)
  • Orient, WA
  • NPI 1386608560
  NPD (past)

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1447863105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 808",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "991090808",
            "telephone_number": "509-935-6001",
            "fax_number": "509-935-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5952 BLACKSTONE WAY",
            "city": "NINE MILE FALLS",
            "state": "WA",
            "postal_code": "990264900",
            "telephone_number": "509-464-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "DUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-24",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61223093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Nebelsieck, RPH
• New Health Programs Association (NEW Health Lake Spokane Dental)
• New Health Programs Association (Lake Spokane Community Health Center Pharmacy)
• New Health Programs Association (NEW Health Lake Spokane Medical)
• Nine Mile Falls School District
• Northwest Family Nutrition
• Evonn LB O'Neill, M.D.
• Linda Diane Odell
• Lynn Adele Pankonin
• Phase 1 Physical Therapy PS

• Physician Assistant in Nine Mile Falls, WA
• Providers in Nine Mile Falls, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.