Individual provider Active NPI

Bailey Nicole Kowalski, DC

  • Chiropractor
  • Kennewick, WA
National Provider Identifier
1073378287
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61518998 Issued in WA
Practice address
8350 W Grandridge Blvd Ste 100
Kennewick, WA 99336-1678
Phone
(509) 737-1400
Fax
(509) 737-1400
NPI assigned
Feb 16, 2024
Last updated
Feb 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61518998 WA Primary

Addresses

Primary practice location

8350 W Grandridge Blvd Ste 100
Kennewick, WA 99336-1678

Mailing address

8350 W Grandridge Blvd Ste 100
Kennewick, WA 99336-1678
Phone (509) 737-1400

Other names 1

  • Bailey Nicole Kennedy Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240501002284 WA Practitioner - Chiropractic 6103266614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thurber Family ChiropracticGroup PAC ID 2567626104, 4 clinicians

Practice addresses (Care Compare)

8350 W Grandridge Blvd
Suite 100
Kennewick, WA 99336-1662
Phone (509) 737-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thurber Family Chiropractic Chiropractor CurrentSince Mar 18, 2024 Accepting new patients

Locations

8350 W Grandridge Blvd
Ste 100
Kennewick, WA 99336
Phone (509) 737-1400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1073378287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 W GRANDRIDGE BLVD STE 100",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361678",
            "telephone_number": "509-737-1400",
            "fax_number": "509-737-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 W GRANDRIDGE BLVD STE 100",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361678",
            "telephone_number": "509-737-1400",
            "fax_number": "509-737-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALSKI",
        "first_name": "BAILEY",
        "middle_name": "NICOLE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61518998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BAILEY",
            "last_name": "KENNEDY",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.