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Liberty Lake Direct Primary Care Pllc

Family Medicine Physician in Liberty Lake, WA · enumerated 2023 · authorized official Jared Nelson, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558048280

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Registry record

Entity type Organization (Type 2)
Legal business name Liberty Lake Direct Primary Care Pllc
Practice address 2207 N Molter Rd, Liberty Lake, WA, 99019
Enumeration date Jul 4, 2023
Last updated in NPPES Jul 4, 2023

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jared Nelson
Title Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Liberty Lake Direct Primary Care Pllc?
Liberty Lake Direct Primary Care Pllc is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-07-04.