Active NPI
Michele Marie Newcomer, DC
- Chiropractor
- Vancouver, WA
National Provider Identifier
1992886790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00034005
- Practice address
- 3303 NE Minnehaha St
Suite C
Vancouver, WA 98663 - Phone
- (360) 750-0250
- Fax
- (360) 750-0253
- NPI assigned
- Oct 18, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00034005 | WA | Primary |
| Nutrition Chiropractor | 111NN1001X | CH00034005 | WA | |
| Nutrition Chiropractor | 111NN1001X | 273264 | OR |
Addresses
Primary practice location
3303 NE Minnehaha St
Suite C
Vancouver, WA 98663
Mailing address
PO Box 65055
Vancouver, WA 98665
Phone (360) 750-0250
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 |
|---|---|---|---|
| 273264 | OR | MD | Nutrition Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192147200000",
"number": "1992886790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 65055",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98665",
"telephone_number": "360-750-0250",
"fax_number": "360-750-0253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3303 NE MINNEHAHA ST",
"address_2": "SUITE C",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98663",
"telephone_number": "360-750-0250",
"fax_number": "360-750-0253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWCOMER",
"first_name": "MICHELE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2007-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00034005",
"primary": true
},
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "WA",
"license": "CH00034005",
"primary": false
},
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "OR",
"license": "273264",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 12, 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.