Amira Amar Nystrom, LMP

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

MA60255405 Issued in WA

Practice address

1904 3Rd Ave Ste 252
Seattle, WA 98101-1194

Phone

(206) 682-1424

NPI assigned

Oct 18, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Midtown Chiropractic & Rehabilitation

  • Chiropractor
  • Seattle, WA
  • NPI 1255499695
  NPD (past)

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1831442524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11501 5TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981256201",
            "telephone_number": "206-854-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 3RD AVE STE 252",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011194",
            "telephone_number": "206-682-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYSTROM",
        "first_name": "AMIRA",
        "middle_name": "AMAR",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "WA",
            "license": "MA60255405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brennan Nykreim
• Anne Nylander
• Nicola R. Nylander, M.D.
• Hugh Nymeyer, MD, PHD
• George Ssebuliba Nyondo
• Kristin Carr Nyweide White, M.D.
• Elisha Nziengui Boussengui, MD
• Zoe Nzimande, RDN
• Doris O Leary, REGISTERED COUNSELOR
• Gerrarda Concepta O'Beirne, B.D.S.,M.S.D.

• Community Health Worker in Seattle, WA
• Providers in Seattle, 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 Oct 18, 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.