NPIMap

Individual provider Active NPI

Nicole Marie Westbrook, D.C

  • Chiropractor
  • Coburg, OR
National Provider Identifier
1851752232
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5838 Issued in OR
Practice address
90971 S Willamette St
Coburg, OR 97408
Phone
(833) 628-5433
NPI assigned
Mar 14, 2016
Last updated
Dec 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Chiropractor 111N00000X 5838 OR Primary

Addresses

Primary practice location

90971 S Willamette St
Coburg, OR 97408

Mailing address

PO Box 81
Springfield, OR 97477-0005
Phone (931) 224-3893

Other practice location 1

2425 34th St
Springfield, OR 97477
Phone (931) 224-3893

Other practice location 2

2425 34th St
Springfield, OR 97477
Phone (931) 224-3893

Other names 1

  • Nicole-Marie Westbrook Professional 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5838ORMDPhysical Therapist
2926TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Natural Life Chiropractic LLC Chiropractor CurrentSince Sep 1, 2019 Accepting new patients
Robert Wilson, DC, PLLC PastSince Mar 1, 2018 Accepting new patients

Organizations & group practices 2

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": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1851752232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974770005",
            "telephone_number": "931-224-3893",
            "fax_number": "541-747-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90971 S WILLAMETTE ST",
            "city": "COBURG",
            "state": "OR",
            "postal_code": "97408",
            "telephone_number": "833-628-5433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2425 34th St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "97477",
            "country_code": "US",
            "telephone_number": "931-224-3893",
            "fax_number": "541-747-1535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2425 34th St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "97477",
            "country_code": "US",
            "telephone_number": "931-224-3893",
            "fax_number": "541-747-1535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESTBROOK",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-14",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE-MARIE",
            "last_name": "WESTBROOK",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Coburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.