Individual provider Active NPI

Ruth Nassen

  • Specialist
  • Liberty Lake, WA
National Provider Identifier
1720475288
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA60124603 Issued in WA
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, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
MA60124603WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Lake Chiropractic PS PastSince Nov 1, 2020 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.

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

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.

Verify at the official NPI Registry.