Kimberly S White, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60287673 Issued in WA

Practice address

2310 N Molter Rd
Suite 108
Liberty Lake, WA 99019-5036

Phone

(509) 924-4443

Fax

(509) 924-1249

NPI assigned

Jun 12, 2012

Last updated

Apr 26, 2016By the provider in NPPES

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

Other identifiers 1

Other names 1

• Dr. Kimberly A Shiplet Former name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Intelligent Balance Chiropractic Spinal Care PLLCGroup PAC ID 8628351004, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Intelligent Balance Chiropractic Spinal Care, PLLC

  • Chiropractor
  • Liberty Lake, WA
  • NPI 1437515343
  Medicare reassignment Care Compare group NPD Authorized official
• Intelligent Balance Chiropractic Spinal Care, PLLC

  • Chiropractor
  • Liberty Lake, WA
  • NPI 1538603238
  NPD Authorized official
• Balanced Spine LLC

  • Chiropractor
  • Issaquah, WA
  • NPI 1265465058
  NPD (past)

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1124380589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 N MOLTER RD",
            "address_2": "SUITE 108",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990195036",
            "telephone_number": "509-924-4443",
            "fax_number": "509-924-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 N MOLTER RD",
            "address_2": "SUITE 108",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990195036",
            "telephone_number": "509-924-4443",
            "fax_number": "509-924-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KIMBERLY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60287673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G8910053",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "SHIPLET",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carolyn Marie Warrick, DDIV, ANP-BC
• Coleen Watkins
• Alden Robert Webb, D.O.
• Well Life Compounding LLC (Well Life Liberty Lake Pharmacy)
• Dashiel Wham, NP
• Mark A Whitley, P.T.
• Jennifer Rebecca Wilde
• Wildecare Education
• Clint Wire, DDS, MS
• Jeffrey A Wirthlin, MD

• Chiropractor in Liberty Lake, WA
• Providers in Liberty Lake, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.