NPIMap

Organization Active NPI

Clearview Wellness Center, PLLC

  • Chiropractor
  • Snohomish, WA
National Provider Identifier
1174873962
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CLEARVIEW WELLNESS CENTER, PLLC
Practice address
17416 State Route 9 SE
Suite B
Snohomish, WA 98296-6304
Phone
(360) 668-2000
Fax
(360) 668-1700
NPI assigned
Sep 19, 2012
Last updated
Nov 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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

Authorized official

Name
Rachelle Brewer
Title
Billing Manager
Phone
(360) 668-2000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X WA Primary
Massage Therapist 225700000X WA

Addresses

Primary practice location

17416 State Route 9 SE
Suite B
Snohomish, WA 98296-6304

Mailing address

17416 State Route 9 SE
Suite B
Snohomish, WA 98296
Phone (360) 668-2000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131202001798 WA Part B Supplier - Clinic/Group Practice 7517193287 Receives reassigned benefits from 4 practitioners
Practice locations: Snohomish, WA

National Provider Directory

National Provider Directory

Locations

17416 State Route 9 SE
Ste B
Snohomish, WA 98296
Phone (360) 668-2000

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510012800000",
    "number": "1174873962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17416 STATE ROUTE 9 SE",
            "address_2": "SUITE B",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "98296",
            "telephone_number": "360-668-2000",
            "fax_number": "360-668-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17416 STATE ROUTE 9 SE",
            "address_2": "SUITE B",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982966304",
            "telephone_number": "360-668-2000",
            "fax_number": "360-668-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARVIEW WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2017-11-07",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "360-668-2000"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snohomish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.