Active NPI
Elena Walmer, LMT
- Specialist
- University Place, WA
National Provider Identifier
1982723029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA00014100
- Practice address
- 4103 Bridgeport Way W
Suite C
University Place, WA 98466-4300 - Phone
- (253) 460-1824
- Fax
- (253) 460-1920
- NPI assigned
- Mar 28, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA00014100 | WA | Primary |
Addresses
Primary practice location
4103 Bridgeport Way W
Suite C
University Place, WA 98466-4300
Mailing address
2437 Lenore Dr
Tacoma, WA 98406-1932
Phone (253) 756-6834
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0135797 | Other | WA | L&I |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00014100 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982723029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2437 LENORE DR",
"city": "TACOMA",
"state": "WA",
"postal_code": "984061932",
"telephone_number": "253-756-6834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4103 BRIDGEPORT WAY W",
"address_2": "SUITE C",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984664300",
"telephone_number": "253-460-1824",
"fax_number": "253-460-1920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALMER",
"first_name": "ELENA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA00014100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "0135797",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in University Place, WA
- Walgreen Co (Walgreens #07137)
- Chrissanda Walker
- Jerry L Walker, DDS
- Laura Walker, DNP, PMHNP
- Chandra Marie Wallace
- Vanessa Diane Walters, LMT
- Kimberley Warnick, LMHC
- Shailyn Elaine Crishae Warnock, LSWAIC SC61173634
- Washington Dental Corporation, PC (University Place Modern Dentistry)
- Julie Anne Waterfield, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.