Active NPI
Jeannette Blair Birnbach, DC, MS, CN, CCN
- Chiropractor
- Redmond, WA
National Provider Identifier
1114165891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00034687
- Practice address
- 15230 NE 24TH St
Suite E (2ND Floor)
Redmond, WA 98052-5540 - Phone
- (425) 727-2878
- NPI assigned
- Feb 3, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00034687 | WA | Primary |
| Nutritionist | 133N00000X | NU00001972 | WA |
Addresses
Primary practice location
15230 NE 24TH St
Suite E (2ND Floor)
Redmond, WA 98052-5540
Mailing address
15230 NE 24TH St
Suite E (2ND Floor)
Redmond, WA 98052-5540
Phone (425) 727-2878
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00034687 | WA | MD | Chiropractor |
| NU00001972 | WA | MD | Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GJSC, LLC | Chiropractor | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233619200000",
"number": "1114165891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15230 NE 24TH ST",
"address_2": "SUITE E (2ND FLOOR)",
"city": "REDMOND",
"state": "WA",
"postal_code": "980525540",
"telephone_number": "425-727-2878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15230 NE 24TH ST",
"address_2": "SUITE E (2ND FLOOR)",
"city": "REDMOND",
"state": "WA",
"postal_code": "980525540",
"telephone_number": "425-727-2878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRNBACH",
"first_name": "JEANNETTE",
"middle_name": "BLAIR",
"name_prefix": "Dr.",
"credential": "DC, MS, CN, CCN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-03",
"last_updated": "2009-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00034687",
"primary": true
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "WA",
"license": "NU00001972",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.