Heather A Belisle, LMP

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

60129779 Issued in WA

Practice address

20124 Ballinger Way NE
Shoreline, WA 98155-1117

Phone

(206) 366-1111

NPI assigned

Aug 12, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Heather A Fishburn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500595200000",
    "number": "1679888705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 188TH ST NE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982235400",
            "telephone_number": "425-531-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20124 BALLINGER WAY NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981551117",
            "telephone_number": "206-366-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELISLE",
        "first_name": "HEATHER",
        "middle_name": "A",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-12",
        "last_updated": "2017-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60129779",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "WA",
            "license": "60129779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "FISHBURN",
            "middle_name": "A",
            "credential": "LMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Anne Bee, LMFT
• Elizabeth Ann Beeman
• Barbara Beeson, PA
• Theresa C Bei, CDP
• Askale Tsehaye Belay
• Elizabeth S Bell, OD
• Matthew Satchell Bell, O.D.
• Cheyann Benn
• Maureen Lee Bennett
• Vivian Marie Bennett, DDS

• Community Health Worker in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Community Health Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; 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.