Individual provider Active NPI

Haley Nicole Gehm, D.C.

  • Chiropractor
  • Vancouver, WA
National Provider Identifier
1881001410
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60475667 Issued in WA
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

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former 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
CH60475667WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hazel Dell Sports Medicine & Rehab Clinic PLLC Chiropractor PastSince Mar 1, 2002 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.

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.

Verify at the official NPI Registry.