Corene Kay Bodily-Goodmansen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034815 Issued in WA

Practice address

17147 Vashon Hwy SW Ste 111
Vashon, WA 98070-4603

Phone

(253) 970-5077

Fax

(253) 327-1296

NPI assigned

Nov 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Vashon Chiropractic, PS

  • Chiropractor
  • Vashon, WA
  • NPI 1386406064
  Medicare reassignment NPD Authorized official
• CB Chiropractic PLLC

  • Clinic/Center
  • Fife, WA
  • NPI 1508149097
  NPD (past)

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706918400000",
    "number": "1043491889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2421",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980702421",
            "telephone_number": "253-347-0102",
            "fax_number": "253-327-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17147 VASHON HWY SW STE 111",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980704603",
            "telephone_number": "253-970-5077",
            "fax_number": "253-327-1296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5702 N 26th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984072406",
            "country_code": "US",
            "telephone_number": "253-970-5077",
            "fax_number": "253-327-1296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BODILY-GOODMANSEN",
        "first_name": "CORENE",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-20",
        "last_updated": "2024-02-03",
        "certification_date": "2024-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Erin Beers, MA
• Anna Benedict
• Meghan Young Bergeron, ARNP
• Candise Bertram
• Stephen J Bird
• Jessica Lin Bolding, MS., L.AC
• Kjirste Boyce, LMT
• Lizabeth A Brenneman, MA
• Caroline S Brinkley, MD
• Kyle Jason Britz, LMP

• Chiropractor in Vashon, WA
• Providers in Vashon, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2024; 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.