Individual provider Active NPI

Kathy Lynne Thomas, D.C.

  • Chiropractor
  • Vancouver, WA
National Provider Identifier
1033203187
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00033951 Issued in WA
Practice address
9901 NE 7TH Ave
B110
Vancouver, WA 98685-4523
Phone
(360) 944-5454
Fax
(360) 944-6522
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00033951 WA Primary

Addresses

Primary practice location

9901 NE 7TH Ave
B110
Vancouver, WA 98685-4523

Mailing address

9901 NE 7TH Ave
B110
Vancouver, WA 98685-4523
Phone (360) 944-5454

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090615000062 WA Practitioner - Chiropractic 6507916525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9901 NE 7TH Ave
Suite B110
Vancouver, WA 98685-4528
Phone (360) 944-5454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00033951WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Chiropractic, P.C. CurrentSince Mar 8, 2009 Accepting new patients

Locations

9901 NE 7th Ave
Ste B110
Vancouver, WA 98685
Phone (360) 944-5454

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
  • WA PPO C-SNP

Organizations & group practices 1

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033203187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 NE 7TH AVE",
            "address_2": "B110",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986854523",
            "telephone_number": "360-944-5454",
            "fax_number": "360-944-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 NE 7TH AVE",
            "address_2": "B110",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986854523",
            "telephone_number": "360-944-5454",
            "fax_number": "360-944-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KATHY",
        "middle_name": "LYNNE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00033951",
            "primary": true
        }
    ],
    "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 Jul 8, 2007; 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.