Nicole Kaufman

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH61098571 Issued in WA

Practice address

18920 Bothell Way NE Ste 100
Bothell, WA 98011-1981

Phone

(425) 486-1122

NPI assigned

Sep 18, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kaufman Chiropractic Clinic IncGroup PAC ID 0244143105, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kaufman Chiropractic Clinic Inc

  • Chiropractor
  • Bothell, WA
  • NPI 1265527386
  Medicare reassignment Care Compare group NPD
• Bothell Regenerative Medicine

  • Naturopath
  • Bothell, WA
  • NPI 1043872716

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1083220636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18920 BOTHELL WAY NE STE 100",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980111981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18920 BOTHELL WAY NE STE 100",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980111981",
            "telephone_number": "425-486-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61098571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "soap",
            "affiliation": "N",
            "address_1": "18920 Bothell Way NE Ste 100",
            "city": "Bothell",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980111981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pinkesh Surendra Katariwala, PA-C
• Kaufman Chiropractic Clinic Inc
• Beau Kaufman
• Cassandra Renee Kaufman, DC
• Michael David Kaufman, DC
• Susan S Kaufmann, MD
• Baljinder Kaur, DDS
• Jessica Rochelle Kay, CD
• Michaela Kay, DNP, ARNP, FNP-BC
• Alexander Kearney

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.