Active NPI
Leesa Gust, LMP
- Specialist
- Spokane Valley, WA
National Provider Identifier
1639494669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA00024194
- Practice address
- 15701 E Sprague Ave
Suite C
Spokane Valley, WA 99037-5019 - Phone
- (509) 926-9355
- NPI assigned
- Apr 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | MA00024194 | WA | Primary |
Addresses
Primary practice location
15701 E Sprague Ave
Suite C
Spokane Valley, WA 99037-5019
Mailing address
PO Box 13264
Spokane Valley, WA 99213-3264
Phone (509) 990-8208
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 |
|---|---|---|---|
| MA00024194 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inland Family Chiropractic, LLC | 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
- Spokane Valley, WA
- NPI 1396905352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270080000000",
"number": "1639494669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13264",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992133264",
"telephone_number": "509-990-8208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15701 E SPRAGUE AVE",
"address_2": "SUITE C",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "990375019",
"telephone_number": "509-926-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUST",
"first_name": "LEESA",
"name_prefix": "Miss",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-01",
"last_updated": "2010-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA00024194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.