Active NPI
Sarah Lisa Kotlerman, DC
- Chiropractor
- Mount Vernon, WA
National Provider Identifier
1861902207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR.CH.60789255
- Practice address
- 13103 Sunday LN
Mount Vernon, WA 98273-8025 - Phone
- (360) 982-1368
- NPI assigned
- Oct 11, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR.CH.60789255 | WA | Primary |
Addresses
Primary practice location
13103 Sunday LN
Mount Vernon, WA 98273-8025
Mailing address
13103 Sunday LN
Mount Vernon, WA 98273-8025
Phone (360) 982-1368
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
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR.CH.60789255 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547683200000",
"number": "1861902207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13103 SUNDAY LN",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982738025",
"telephone_number": "360-982-1368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13103 SUNDAY LN",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982738025",
"telephone_number": "360-982-1368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTLERMAN",
"first_name": "SARAH",
"middle_name": "LISA",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-11",
"last_updated": "2019-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CHIR.CH.60789255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.