Individual provider Active NPI

Lizamarie Ann Wilson, CPC

  • Physician Office Based Coding Specialist
  • Vancouver, WA
National Provider Identifier
1619108958
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician Office Based Coding SpecialistTaxonomy code 246YC3302X
License
602281466 Issued in WA
Practice address
6610 NE 112TH St
Vancouver, WA 98686-4667
Phone
(360) 546-2473
Fax
(360) 546-2473
NPI assigned
Aug 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Office Based Coding Specialist 246YC3302X 602281466 WA Primary

Addresses

Primary practice location

6610 NE 112TH St
Vancouver, WA 98686-4667

Mailing address

6610 NE 112TH St
Vancouver, WA 98686-4667
Phone (360) 546-2473

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
602281466WAMDPhysician Office Based Coding Specialist

NPI Registry JSON

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249344000000",
    "number": "1619108958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 NE 112TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986864667",
            "telephone_number": "360-546-2473",
            "fax_number": "360-546-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6610 NE 112TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986864667",
            "telephone_number": "360-546-2473",
            "fax_number": "360-546-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LIZAMARIE",
        "middle_name": "ANN",
        "credential": "CPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-04",
        "last_updated": "2009-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246YC3302X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Health Information, Coding Specialist, Physician Office Based",
            "state": "WA",
            "license": "602281466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.