Active NPI
Haley Nicole Gehm, D.C.
- Chiropractor
- Vancouver, WA
National Provider Identifier
1881001410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60475667
- Practice address
- 410 E 20TH St RM 9
Vancouver, WA 98663 - Phone
- (360) 518-6251
- Fax
- (360) 991-0040
- NPI assigned
- Jul 15, 2014
- 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 | CH60475667 | WA | Primary |
Addresses
Primary practice location
410 E 20TH St RM 9
Vancouver, WA 98663
Mailing address
5002 SW 6TH Ave
Camas, WA 98607-2572
Phone (360) 518-6251
Other practice location 1
235 NE 6th Ave
Camas, WA 98607-2033
Phone (360) 834-5126
Other practice location 2
235 NE 6th Ave
Camas, WA 98607-2033
Phone (360) 834-5126
Other names 1
- Haley Nicole Anderson
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 |
|---|---|---|---|
| CH60475667 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hazel Dell Sports Medicine & Rehab Clinic PLLC | Chiropractor | 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.
-
dba Forgey SportsMed & Rehab Clinic
- Chiropractor
- Vancouver, WA
- NPI 1902930076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572307200000",
"number": "1881001410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5002 SW 6TH AVE",
"city": "CAMAS",
"state": "WA",
"postal_code": "986072572",
"telephone_number": "360-518-6251",
"fax_number": "360-991-0040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 E 20TH ST RM 9",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98663",
"telephone_number": "360-518-6251",
"fax_number": "360-991-0040"
}
],
"practiceLocations": [
{
"address_1": "235 NE 6th Ave",
"address_purpose": "LOCATION",
"city": "Camas",
"state": "WA",
"postal_code": "986072033",
"country_code": "US",
"telephone_number": "360-834-5126",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "235 NE 6th Ave",
"address_purpose": "LOCATION",
"city": "Camas",
"state": "WA",
"postal_code": "986072033",
"country_code": "US",
"telephone_number": "360-834-5126",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEHM",
"first_name": "HALEY",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-15",
"last_updated": "2019-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60475667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HALEY",
"last_name": "ANDERSON",
"middle_name": "NICOLE",
"credential": "D.C.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.