Dashiel Wham, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP61028233 Issued in WA

Practice address

1421 N Meadowwood LN Ste 30
Liberty Lake, WA 99019-5037

Phone

(509) 990-9470

Fax

(509) 255-7790

NPI assigned

Oct 3, 2019

Last updated

Jan 4, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, ID2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Liberty Lake Chiropractic PSGroup PAC ID 1658456702, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Liberty Lake Chiropractic PS

  dba Spokane Spine and Disc

  • Chiropractor
  • Liberty Lake, WA
  • NPI 1316116262

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Community Health Association of Spokane

  • Federally Qualified Health Center (FQHC)
  • Spokane, WA
  • NPI 1326005851
  Medicare reassignment NPD
• Easy Health Medical Solutions PC

  • Nurse Practitioner
  • Fulton, MD
  • NPI 1972179141

  WA

  Medicare reassignment NPD
• Unlimited Health Chiropractic

  • Chiropractor
  • Coeur d'Alene, ID
  • NPI 1639402530
  Medicare reassignment NPD
• True Health PLLC

  • Family Medicine Physician
  • Liberty Lake, WA
  • NPI 1639881220
  Medicare reassignment
• Community Health Association of Spokane

  • Federally Qualified Health Center (FQHC)
  • Spokane, WA
  • NPI 1679363592
  NPD
• Community Health Association of Spokane

  • Federally Qualified Health Center (FQHC)
  • Spokane, WA
  • NPI 1902017817
  NPD
• Unlimited Health Chiropractic

  • General Practice Physician
  • Coeur d'Alene, ID
  • NPI 1366098774

  Family

  NPD

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1760023469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 S HENRY RD",
            "city": "GREENACRES",
            "state": "WA",
            "postal_code": "990166006",
            "telephone_number": "206-557-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 N MEADOWWOOD LN STE 30",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990195037",
            "telephone_number": "509-990-9470",
            "fax_number": "509-255-7790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3145 E Mullan Ave Ste 500",
            "address_purpose": "LOCATION",
            "city": "Post Falls",
            "state": "ID",
            "postal_code": "838548901",
            "country_code": "US",
            "telephone_number": "208-981-0129",
            "fax_number": "888-443-4939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 E Neider Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838156007",
            "country_code": "US",
            "telephone_number": "208-930-0045",
            "fax_number": "888-443-4939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHAM",
        "first_name": "DASHIEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-03",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "56675",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R44211",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61028233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn Warnica, LMHC
• Carolyn Marie Warrick, DDIV, ANP-BC
• Coleen Watkins
• Alden Robert Webb, D.O.
• Well Life Compounding LLC (Well Life Liberty Lake Pharmacy)
• Kimberly S White, D.C.
• Mark A Whitley, P.T.
• Jennifer Rebecca Wilde
• Wildecare Education
• Clint Wire, DDS, MS

• Family Nurse Practitioner in Liberty Lake, WA
• Providers in Liberty Lake, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.