Individual provider Active NPI

Janine Lauren Smith, DC

  • Chiropractor
  • Sequim, WA
National Provider Identifier
1093068496
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60825620 Issued in WA
Practice address
294 Sunshine Ave
Sequim, WA 98382-7057
Phone
(360) 565-5372
NPI assigned
Oct 23, 2012
Last updated
Apr 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60825620 WA Primary

Addresses

Primary practice location

294 Sunshine Ave
Sequim, WA 98382-7057

Mailing address

995 Old Olympic Hwy
Port Angeles, WA 98362-8050
Phone (360) 565-5372

Other practice location 1

995 Old Olympic Hwy
Port Angeles, WA 98362-8050
Phone (360) 565-5372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH60825620WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Pathways, S.C. Chiropractor CurrentSince Oct 22, 2012 Accepting new patients
Dr. Kwon Blue Mountain Wellness Clinic LLC Chiropractor PastSince Oct 22, 2012 Accepting new patients

Locations

23909 W Renwick Rd
Ste 113E
Plainfield, IL 60544
Phone (815) 439-6161

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, 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": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1093068496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 OLD OLYMPIC HWY",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983628050",
            "telephone_number": "360-565-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 SUNSHINE AVE",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983827057",
            "telephone_number": "360-565-5372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "995 Old Olympic Hwy",
            "address_purpose": "LOCATION",
            "city": "Port Angeles",
            "state": "WA",
            "postal_code": "983628050",
            "country_code": "US",
            "telephone_number": "360-565-5372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JANINE",
        "middle_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-23",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60825620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sequim, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.