Alyssa Balducci-Wilson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

61119952 Issued in WA

Practice address

4001 Main St Ste 200
Vancouver, WA 98663-1894

Phone

(360) 693-3030

NPI assigned

Jan 2, 2021

Last updated

Oct 16, 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2020

Medicare assignment

May accept Medicare assignment

Group practices

BC Chiropractic ClinicGroup PAC ID 6103139738, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• BC Chiropractic Clinic

  dba Cooper Chiropractic

  • Chiropractor
  • Vancouver, WA
  • NPI 1922271352
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1609545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1851989263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 N WILLIAMS AVE APT 530",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972272057",
            "telephone_number": "831-262-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 MAIN ST STE 200",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986631894",
            "telephone_number": "360-693-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDUCCI-WILSON",
        "first_name": "ALYSSA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-02",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "61119952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Balanced Living Chiropractic PLLC
• Balanced Physical Therapy LLC
• Anca Balasu, MD
• Elizabeth Balazsy, B.A
• Brittany Michelle Baldock, LMT
• Jenny Baldwin, ATC, LMP
• Zavier Linnel-Lee Baldwin
• Melinda Bale, LMT, PY
• Timothy Bales, SUDP
• Linde Elizabeth Baliola

• Chiropractor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.

Verify at the official NPI Registry.