Individual provider Active NPI

Annie Schmidt, DC

  • Chiropractor
  • Everett, WA
National Provider Identifier
1023639721
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61061287 Issued in WA
Practice address
4418 Rucker Ave Ste a
Everett, WA 98203-2397
Phone
(425) 258-1969
NPI assigned
May 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61061287 WA Primary

Addresses

Primary practice location

4418 Rucker Ave Ste a
Everett, WA 98203-2397

Mailing address

4418 Rucker Ave Ste a
Everett, WA 98203-2397
Phone (425) 258-1969

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address schmidtchiro@hotmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200728001752 WA Practitioner - Chiropractic 2163846817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4418 Rucker Ave
Suite a
Everett, WA 98203-2397
Phone (425) 258-1969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH61061287WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Annie Schmidt Chiropractic PLLC CurrentSince Jul 1, 2020 Accepting new patients
Schmidt Family Chiropractic PLLC Chiropractor PastSince May 10, 2020 Accepting new patients

Locations

4418 Rucker Ave
Ste A
Everett, WA 98203
Phone (425) 258-1969

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1023639721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4418 RUCKER AVE STE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032397",
            "telephone_number": "425-258-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4418 RUCKER AVE STE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032397",
            "telephone_number": "425-258-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "ANNIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-04",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61061287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "schmidtchiro@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4418 Rucker Ave Ste A",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982032397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.