Liberty Lake Direct Primary Care PLLC
NPI 1558048280 · Family Medicine Physician · Liberty Lake, WA
Liberty Lake Direct Primary Care PLLC is a Family Medicine Physician organization in Liberty Lake, WA (NPI 1558048280).
Provider details
- NPI number
- 1558048280
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jared Nelson, Owner(509) 828-5250
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Liberty Lake Dpc
Registry dates
- Enumerated
- 2023-07-04
- Last updated
- 2023-07-04
- Certified
- 2023-07-04
Frequently asked questions
- What is Liberty Lake Direct Primary Care PLLC's NPI number?
- Liberty Lake Direct Primary Care PLLC's National Provider Identifier (NPI) is 1558048280, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Liberty Lake Direct Primary Care PLLC?
- Liberty Lake Direct Primary Care PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Liberty Lake Direct Primary Care PLLC located?
- Liberty Lake Direct Primary Care PLLC's practice location on file with NPPES is 2207 N Molter Rd, Liberty Lake, WA 99019-7570.
- What is Liberty Lake Direct Primary Care PLLC's phone number?
- The practice phone number listed in the NPPES registry for Liberty Lake Direct Primary Care PLLC is (509) 348-2214.
- Who is the authorized official for Liberty Lake Direct Primary Care PLLC?
- The authorized official listed on Liberty Lake Direct Primary Care PLLC's NPPES record is Jared Nelson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Liberty Lake Direct Primary Care PLLC's NPI active?
- Yes — Liberty Lake Direct Primary Care PLLC's NPI (1558048280) is active in the NPPES registry as of the last update on 2023-07-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.