Peripheral Nerve Clinic, PS

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PERIPHERAL NERVE CLINIC, PS

Practice address

2000 N State St
Bellingham, WA 98225-4218

Phone

(360) 933-1405

NPI assigned

Dec 6, 2012

Last updated

Dec 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eddie Hansen, DC

Title

Owner

Phone

(360) 933-1405

Specialties & licenses 3

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cathie L Diller, MD

  • Family Medicine Physician
  • Everson, WA
  • NPI 1790978229
  NPD (past)
• Edward Lewis Hansen, D.C.

  • Chiropractor
  • Bellingham, WA
  • NPI 1285708750
  NPD (past)

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1558606111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N STATE ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254218",
            "telephone_number": "360-933-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N STATE ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254218",
            "telephone_number": "360-933-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIPHERAL NERVE CLINIC, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-933-1405",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorena Perez, CRETIFIED SPANISH IN
• Performance Modalities Inc (Performance Home Medical)
• Performance Physical Therapy, Inc. P.S.
• Adrienne Rochelle Perigo
• Johnny Lynn Perini, PSY.D.
• Katie Higgins Pernick I, MSN
• Jessica Mae Perry, L.AC.
• Misti Ann Perry
• Paul David Perry, LMP
• Savannah Louise Perry

• General Practice Physician in Bellingham, WA
• Providers in Bellingham, WA by specialty
• General Practice Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.