Active NPI
Michelle Hillstrom, LMP
- Specialist
- Auburn, WA
National Provider Identifier
1588898332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA00018679
- Practice address
- 4017 A St SE
B101
Auburn, WA 98002-8607 - Phone
- (253) 939-8144
- Fax
- (253) 939-2289
- NPI assigned
- May 7, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA00018679 | WA | Primary |
Addresses
Primary practice location
4017 A St SE
B101
Auburn, WA 98002-8607
Mailing address
4017 A St. SE
B101
Auburn, WA 98002-0060
Phone (253) 939-8144
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA00018679 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avise Chiropractic P L L C | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Auburn, WA
- NPI 1740912500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291939200000",
"number": "1588898332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4017 A ST. SE",
"address_2": "B101",
"city": "AUBURN",
"state": "WA",
"postal_code": "980020060",
"telephone_number": "253-939-8144",
"fax_number": "253-939-2289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4017 A ST SE",
"address_2": "B101",
"city": "AUBURN",
"state": "WA",
"postal_code": "980028607",
"telephone_number": "253-939-8144",
"fax_number": "253-939-2289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLSTROM",
"first_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-07",
"last_updated": "2010-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA00018679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.