MR. SAMUEL LIONEL NELSON (NPI# 1215393079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215393079 |
| Entity Type | Individual |
| Full Name | MR. SAMUEL LIONEL NELSON |
| Credential | D.C. |
| Practice Address |
23801 East Appleway Ave #110 Liberty Lake WA 99019 |
| Practice Telephone | 5099224133 |
| Practice Fax Number | 5099289639 |
| Mailing Telephone | 5099224133 |
| Mailing Fax Number | 5099289639 |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2016-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH 605 707 33 | WA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134678501 | Samuel Nelson IIi | Case Manager/Care Coordinator | 1600 S Valley View Blvd, Apt 2126, Las Vegas, NV 89102-1869 | 2016-09-27 |
| 1265759377 | Samuel Brandon Nelson | Massage Therapist | 2390 Twain Ave, Memphis, TN 38114-4213 | 2010-04-28 |
| 1770672214 | Samuel Williams Nelson | Dentist | 701 W Pierson Rd, Flint, MI 48505-3111 | 2006-10-12 |
| 1063443281 | Samuel Arnold Nelson | Psychiatry & Neurology | 518 E 1st St, Tucson, AZ 85705-7818 | 2006-07-05 |
| 1730643180 | Samuel Nelson | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2019-01-29 |
| 1467802629 | Samuel Gower Nelson | Internal Medicine | 2525 Desales Ave, Chattanooga, TN 37404 | 2016-06-20 |
| 1174947451 | Samuel Nelson | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2014-02-07 |
| Street Address |
23801 EAST APPLEWAY AVE #110 |
| City | LIBERTY LAKE |
| State | WA |
| Zip Code | 99019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194201533 | Lorena Margaret De La Rosa | Nurse Practitioner | 22820 E Appleway Ave Ste A, Liberty Lake, WA 99019 | 2018-07-18 |
| 1831641570 | Shirla Underwood | Spec/Tech, Cardiovascular | 3705 S Molter Rd, Liberty Lake, WA 99019 | 2016-10-28 |
| 1841627601 | Noland Peterdy | Pharmacist | 1423 N Molter 727, Liberty Lake, WA 99019 | 2013-10-10 |
| 1043559446 | Phillip Wayne Harris | Reflexologist | E 23505 Appleway, Liberty Lake, WA 99019 | 2013-02-05 |
| 1710231766 | Mark Autrey | Pharmacist | 23010 E Settler Drive, Spokane, WA 99019 | 2012-10-30 |
| 1982971107 | Michele Ladd | Dental Hygienist | 22826 East Clearwater Lane, Liberty Lake, WA 99019 | 2011-11-17 |
| 1467689166 | Drostan Gregg Baker | Family Medicine | 2207 N Molter Rd Ste 203, Liberty Lake, WA 99019 | 2009-06-19 |
| 1619117959 | Joline Marie Messina | Behavioral Analyst | 1324 N Liberty Lake Rd # 193, Liberty Lake, WA 99019 | 2009-02-26 |
| 1144427964 | J. Evans, Dmd, P.s. | Dentist | 1327 N Stanford Lane, Suite B, Liberty Lake, WA 99019 | 2007-06-27 |
| 1700908803 | Shenae' M Dolan | Massage Therapist | 23801 E. Appleway, Liberty Lake, WA 99019 | 2007-04-06 |
| Find all providers in zip 99019 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437515343 | Intelligent Balance Chiropractic Spinal Care, Pllc | Chiropractor | 2310 N Molter Rd Ste 108, Liberty Lake, WA 99019-8621 | 2016-01-07 |
| 1376841940 | Osborne Chiropractic Pllc | Chiropractor | 1334 N Whitman Ln # 100, Liberty Lake, WA 99019-7594 | 2011-03-07 |
| 1194944587 | Daniel S Chamberlain | Chiropractor | 2207 N Molter Rd Ste 250, Liberty Lake, WA 99019-7582 | 2007-04-24 |
| 1396800413 | Aaron Gregson Binns | Chiropractor | 22910 E Appleway Ave Ste 7, Liberty Lake, WA 99019-8606 | 2006-12-27 |
| 1497763387 | Daniel J Osborne | Chiropractor | 1334 N Whitman, #100, Liberty Lake, WA 99019-7594 | 2006-08-04 |
| 1619985595 | Susan J Naccarato | Chiropractor | 21651 E Country Vista Dr, Suite F, Liberty Lake, WA 99019-7708 | 2006-08-04 |
| 1922473982 | Barrett Family Chiropractic | Chiropractor | 21651 E Country Vista Dr, Suite F, Liberty Lake, WA 99019-7708 | 2015-12-02 |
| 1922480383 | Proactive Health Chiropractic, Corp | Chiropractor | 23801 E Appleway Ave, 110, Liberty Lake, WA 99019-9687 | 2015-06-22 |
| 1821338500 | Intelligent Balance Spinal Care, Pllc | Chiropractor | 2310 N Molter Rd, Suite 108, Liberty Lake, WA 99019-5036 | 2013-02-18 |
| 1124380589 | Kimberly S White | Chiropractor | 2310 N Molter Rd, Suite 108, Liberty Lake, WA 99019-5036 | 2012-06-12 |
| Find all providers in LIBERTY LAKE | ||||
| City | LIBERTY LAKE |
| Zip Code | 99019 |
Please comment or provide details below to improve the information on MR. SAMUEL LIONEL NELSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.