Active NPI
Brandi Lei Phernetton, D.C.
- Chiropractor
- Bellevue, WA
National Provider Identifier
1154522621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH34566
- Practice address
- 14700 NE 8TH St
Suite 115
Bellevue, WA 98007-4115 - Phone
- (425) 644-8386
- Fax
- (425) 644-2560
- NPI assigned
- May 30, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH34566 | WA | Primary |
Addresses
Primary practice location
14700 NE 8TH St
Suite 115
Bellevue, WA 98007-4115
Mailing address
14700 NE 8TH St
Suite 115
Bellevue, WA 98007-4115
Phone (425) 644-8386
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4618 | MN | MD | Professional Counselor |
| CH34566 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelsey Chiropractic, PLLC | 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": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154522621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14700 NE 8TH ST",
"address_2": "SUITE 115",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980074115",
"telephone_number": "425-644-8386",
"fax_number": "425-644-2560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14700 NE 8TH ST",
"address_2": "SUITE 115",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980074115",
"telephone_number": "425-644-8386",
"fax_number": "425-644-2560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHERNETTON",
"first_name": "BRANDI",
"middle_name": "LEI",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH34566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.