NPIMap

Organization Active NPI

Core Accident & Injury Clinic LLC

Doing business as CORE Accident & Injury

  • Chiropractor
  • Edmonds, WA
National Provider Identifier
1144008749
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CORE ACCIDENT & INJURY CLINIC LLC
Doing business as
CORE Accident & Injury
Practice address
22727 Highway 99 Ste 205
Edmonds, WA 98026-8381
Phone
(425) 471-4083
Fax
(425) 577-6509
NPI assigned
Sep 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Authorized official

Name
Stacey Lefevre, LMT
Title
Clinic Director
Phone
(253) 632-5118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

22727 Highway 99 Ste 205
Edmonds, WA 98026-8381

Mailing address

22727 Highway 99 Ste 205
Edmonds, WA 98026-8381
Phone (425) 471-4083

Other names 1

  • CORE Accident & Injury Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Core Accident Injury2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

22727 Highway 99
Ste 205
Edmonds, WA 98026
Phone (425) 471-4083

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1144008749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22727 HIGHWAY 99 STE 205",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268381",
            "telephone_number": "425-471-4083",
            "fax_number": "425-577-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22727 HIGHWAY 99 STE 205",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268381",
            "telephone_number": "425-471-4083",
            "fax_number": "425-577-6509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE ACCIDENT & INJURY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "LEFEVRE",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "253-632-5118",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORE Accident & Injury",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.