Rebekka Kuzichev, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH61164759 Issued in WA

Practice address

15325 N Newport Hwy
Mead, WA 99021-9592

Phone

(509) 315-8166

Fax

(509) 315-8308

NPI assigned

May 12, 2021

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2021

Medicare assignment

May accept Medicare assignment

Group practices

CR Clearview LLCGroup PAC ID 3375835705, 3 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 and National Provider Directory roles.

• CR Clearview LLC

  • Chiropractor
  • Spokane, WA
  • NPI 1811373392
  Medicare reassignment Care Compare group NPD
• White and Associates LLC

  • Chiropractor
  • Spokane, WA
  • NPI 1043652787
  NPD (past)

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1093399321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15325 N NEWPORT HWY",
            "city": "MEAD",
            "state": "WA",
            "postal_code": "990219592",
            "telephone_number": "509-315-8166",
            "fax_number": "509-315-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15325 N NEWPORT HWY",
            "city": "MEAD",
            "state": "WA",
            "postal_code": "990219592",
            "telephone_number": "509-315-8166",
            "fax_number": "509-315-8308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZICHEV",
        "first_name": "REBEKKA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61164759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dr.kuzichev@clearchiro.com",
            "affiliation": "N",
            "address_1": "15325 N Newport Hwy",
            "city": "Mead",
            "state": "WA",
            "country_code": "US",
            "postal_code": "990219592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathryn Dianne Gasper, LICSW
• Jeffrey Scott Hannah, DC
• Tess Ashley Hart, RDH
• Hilltop Occupational Therapy PLLC
• Christy L Kennedy, PHLEBOTOMY MANAGER
• Georgia Renae Loosier
• Amy Lynne Love, RN
• Tammy M Marsden, ARNP
• Mead Adult Family Home, LLC
• Mead School District

• All providers in Mead, WA
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.