Active NPI
Karin Laimer Nosrati, DC
- Chiropractor
- Camas, WA
National Provider Identifier
1851346175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00002905
- Practice address
- 20107 NE 14TH St
Camas, WA 98607-7667 - Phone
- (360) 254-1585
- Fax
- (360) 254-1210
- NPI assigned
- May 24, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00002905 | WA | Primary |
| Sports Physician Chiropractor | 111NS0005X | 3697 | WA |
Addresses
Primary practice location
20107 NE 14TH St
Camas, WA 98607-7667
Mailing address
20107 NE 14TH St
Camas, WA 98607-7667
Phone (360) 254-1585
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0037434 | Other | WA | WA DEPT OF LABOR AND INDU |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050711000240 | WA | Practitioner - Chiropractic | 0244266435 | Practice locations: Camas, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
20107 NE 14TH St
Camas, WA 98607-7667
Phone (360) 254-1585
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3697 | WA | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back in Action Chiropractic | Sports Physician | 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 and National Provider Directory roles.
-
- Sports Physician Chiropractor
- Camas, WA
- NPI 1669756094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646265600000",
"number": "1851346175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20107 NE 14TH ST",
"city": "CAMAS",
"state": "WA",
"postal_code": "986077667",
"telephone_number": "360-254-1585",
"fax_number": "360-254-1210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20107 NE 14TH ST",
"city": "CAMAS",
"state": "WA",
"postal_code": "986077667",
"telephone_number": "360-254-1585",
"fax_number": "360-254-1210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOSRATI",
"first_name": "KARIN",
"middle_name": "LAIMER",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2022-03-03",
"certification_date": "2022-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00002905",
"primary": true
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "WA",
"license": "3697",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA DEPT OF LABOR AND INDU",
"identifier": "0037434",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camas, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.