Lydia Alice Zajackowski, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60908640 Issued in WA

Practice address

1500 Alpensee Strasse
Leavenworth, WA 98826

Phone

(509) 548-5727

NPI assigned

Nov 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Opulent Healing, Inc., P.S.

  • Chiropractor
  • Seattle, WA
  • NPI 1346685948
  NPD (past)

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1104394824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX #559",
            "city": "DRYDEN",
            "state": "WA",
            "postal_code": "98821",
            "telephone_number": "360-319-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ALPENSEE STRASSE",
            "city": "LEAVENWORTH",
            "state": "WA",
            "postal_code": "98826",
            "telephone_number": "509-548-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAJACKOWSKI",
        "first_name": "LYDIA",
        "middle_name": "ALICE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "C609640",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14089",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60908640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Village Pharmacy, Inc.
• Vision Source of Wenatchee, PS
• Kevin A. Winters, D.C
• Howard Leland Wong, MD
• William Young III, MSPT
• Shelly Zehm, RN
• Joann Cecile Zugel, L.M.P.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.