Healthy Living Liberty Lake

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MD00028821 Issued in WA

Legal business name

HEALTHY LIVING LIBERTY LAKE

Practice address

2207 N Molter Rd
Ste 203
Liberty Lake, WA 99019-7570

Phone

(509) 924-6199

Fax

(509) 891-9806

NPI assigned

Aug 6, 2012

Last updated

Aug 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Susan Lynn Ashley, M.D.

Title

Owner

Phone

(509) 924-6199

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1801143169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 N MOLTER RD",
            "address_2": "STE 203",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990197570",
            "telephone_number": "509-924-6199",
            "fax_number": "509-891-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 N MOLTER RD",
            "address_2": "STE 203",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990197570",
            "telephone_number": "509-924-6199",
            "fax_number": "509-891-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIVING LIBERTY LAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "ASHLEY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-924-6199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "MD00028821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nekol Antoinette Hatley, PMHNP
• Jennifer R Havens, DMD
• Rebecca Nicole Hayes, PT
• Kristen Elizabeth Heacox, OTR/L, CLWT
• Healthful Sleep Solutions LLC
• Healthy Living Premier Medical PLLC
• Brady R Heaps, DC
• Kylie Helgeland
• Kelly Ann Hickey, L.M.T.
• Miranda Hill, ND

• Clinic/Center in Liberty Lake, WA
• Providers in Liberty Lake, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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.