Individual provider Active NPI

Abbey H Van Der Meij, LMP

  • Specialist
  • Shelton, WA
National Provider Identifier
1528291390
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00015809 Issued in WA
Practice address
1635 Olympic Hwy N
Shelton, WA 98584-3065
Phone
(360) 426-8060
Fax
(360) 427-5819
NPI assigned
Aug 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00015809 WA Primary

Addresses

Primary practice location

1635 Olympic Hwy N
Shelton, WA 98584-3065

Mailing address

PO Box 2176
Shelton, WA 98584-5047
Phone (360) 426-8060

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

LicenseStateTypeSpecialty
MA00015809WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Shelton Chiropractic and Wellness LLC PastSince Aug 13, 2023 Accepting new patients
Damon J Ernst 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.

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1528291390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2176",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985845047",
            "telephone_number": "360-426-8060",
            "fax_number": "360-427-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 OLYMPIC HWY N",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985843065",
            "telephone_number": "360-426-8060",
            "fax_number": "360-427-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DER MEIJ",
        "first_name": "ABBEY",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00015809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.