Nordlie Enterprises, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

601254898 Issued in WA

Legal business name

NORDLIE ENTERPRISES, INC.

Doing business as

Premier Medical

Practice address

555 116TH Ave NE
Suite #180
Bellevue, WA 98004-5232

Phone

(425) 453-0555

Fax

(425) 453-6610

NPI assigned

Nov 27, 2006

Organization subpart

No

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

Authorized official

Name

Craig Evan Nordlie

Title

President

Phone

(425) 453-0555

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Premier Medical Doing business as

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1467528976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 116TH AVE NE",
            "address_2": "SUITE #180",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045232",
            "telephone_number": "425-453-0555",
            "fax_number": "425-453-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 116TH AVE NE",
            "address_2": "SUITE #180",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045232",
            "telephone_number": "425-453-0555",
            "fax_number": "425-453-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORDLIE ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "NORDLIE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "EVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-453-0555"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "601254898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9058355",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Farha Noormohamed, MSCCC-SLP
• Nooshin K Darvish, ND PC (Holistique Medical Center)
• Nora Beauty Spa LLC
• Bethany Ann Norby
• Rodney Carl Nordberg, DDS
• Nordstrom Inc & Subsidiaries
• Beverly Jean Norfleet, PSY.D.
• Price Daniel Norman, L.M.P.
• Tyler Jonathan Norman
• James E Norris

• Durable Medical Equipment & Medical Supplies in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Durable Medical Equipment & Medical Supplies in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.