Active NPI
Ruth Nassen
- Specialist
- Liberty Lake, WA
National Provider Identifier
1720475288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA60124603
- Practice address
- 2207 N Molter Rd Ste 250
Liberty Lake, WA 99019-7582 - Phone
- (509) 893-9939
- Fax
- (509) 893-9107
- NPI assigned
- Apr 22, 2015
- Last updated
- Apr 22, 2015
- 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 | MA60124603 | WA | Primary |
Addresses
Primary practice location
2207 N Molter Rd Ste 250
Liberty Lake, WA 99019-7582
Mailing address
1105 S Woodlawn Rd
Spokane Valley, WA 99216-0558
Phone (509) 936-4463
Other names 1
- Ruth Ann Dalager
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 |
|---|---|---|---|
| MA60124603 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liberty Lake Chiropractic PS | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Spokane Spine and Disc
- Chiropractor
- Liberty Lake, WA
- NPI 1316116262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429660800000",
"number": "1720475288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 S WOODLAWN RD",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992160558",
"telephone_number": "509-936-4463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2207 N MOLTER RD STE 250",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990197582",
"telephone_number": "509-893-9939",
"fax_number": "509-893-9107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASSEN",
"first_name": "RUTH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-22",
"last_updated": "2015-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA60124603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RUTH",
"last_name": "DALAGER",
"middle_name": "ANN",
"credential": "MA60124603",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Liberty Lake, WA
- Multicare Health System (Multicare Rockwood Liberty Lake)
- Jolynn S Munro, OTR
- Susan J Naccarato, DC
- Jennifer Anne Nakata, NP
- Amber M Napier, LMT
- Neighborhood Care, LLC (Visiting Angels)
- Jared William Nelson, MD
- Emmylou T Newell, RDN
- Tammy Nixon-Potts, RPH
- North Idaho Day Surgery LLC (Axis Spine Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.