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

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 and National Provider Directory roles.

• BC Chiropractic Clinic

  • 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.