Individual provider Active NPI

Cassidy Alyson McCrea, DC

  • Chiropractor
  • Poulsbo, WA
National Provider Identifier
1144934993
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
61369033 Issued in WA
Practice address
19740 7TH Ave NE Ste 100
Poulsbo, WA 98370-8685
Phone
(360) 779-7800
NPI assigned
Jan 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 61369033 WA Primary

Addresses

Primary practice location

19740 7TH Ave NE Ste 100
Poulsbo, WA 98370-8685

Mailing address

991 NE Riddell Rd
Bremerton, WA 98310-3035
Phone (360) 373-2225

Other practice location 1

991 NE Riddell Rd
Bremerton, WA 98310-3035
Phone (360) 373-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230217001268 WA Practitioner - Chiropractic 6901278035 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dewilde Chiropractic IncGroup PAC ID 6901898832, 3 clinicians

Practice addresses (Care Compare)

19660 10TH Ave NE
Suite B
Poulsbo, WA 98370-6579
Phone (360) 779-7800

19740 7TH Ave NE
Suite 100
Poulsbo, WA 98370-8685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61369033WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Shelton Chiropractic and Wellness LLC Chiropractor CurrentSince Jun 14, 2024 Accepting new patients
Chiropractic Lifestyle Center Chiropractor CurrentSince Apr 4, 2024 Accepting new patients
Dewilde Chiropractic Inc Chiropractor CurrentSince May 8, 2024 Accepting new patients
Damon J Ernst Chiropractor Past Accepting new patients

Locations

991 NE Riddell Rd
Bremerton, WA 98310
Phone (360) 373-2225

19740 7th Ave NE
Ste 100
Poulsbo, WA 98370
Phone (360) 779-7800

19660 10th Ave NE
Ste B
Poulsbo, WA 98370
Phone (360) 779-7800

1635 Olympic Hwy N
Ste 100
Shelton, WA 98584
Phone (360) 426-8060

Organizations & group practices 4

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": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1144934993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 NE RIDDELL RD",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103035",
            "telephone_number": "360-373-2225",
            "fax_number": "866-847-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19740 7TH AVE NE STE 100",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708685",
            "telephone_number": "360-779-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "991 NE Riddell Rd",
            "address_purpose": "LOCATION",
            "city": "Bremerton",
            "state": "WA",
            "postal_code": "983103035",
            "country_code": "US",
            "telephone_number": "360-373-2225",
            "fax_number": "866-847-7770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCREA",
        "first_name": "CASSIDY",
        "middle_name": "ALYSON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-06",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "61369033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.