Individual provider Active NPI

Christiana Maia Matthews, DC

  • Chiropractor
  • Kenmore, WA
National Provider Identifier
1184931719
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60178205 Issued in WA
Practice address
6639 NE 190TH St
Kenmore, WA 98028-3467
Phone
(425) 985-6619
Fax
(425) 952-1965
NPI assigned
Sep 2, 2010
Last updated
Feb 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60178205 WA Primary

Addresses

Primary practice location

6639 NE 190TH St
Kenmore, WA 98028-3467

Mailing address

6639 NE 190TH St
Kenmore, WA 98028-3467
Phone (425) 985-6619

Other names 1

  • Christy Lee Maia Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trilogy Chriopractic Current Accepting new patients

Locations

3933 Stone Way N
Seattle, WA 98103
Phone (206) 588-0014

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1184931719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6639 NE 190TH ST",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980283467",
            "telephone_number": "425-985-6619",
            "fax_number": "425-952-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6639 NE 190TH ST",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980283467",
            "telephone_number": "425-985-6619",
            "fax_number": "425-952-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "CHRISTIANA",
        "middle_name": "MAIA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-02",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60178205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTY",
            "last_name": "MAIA",
            "middle_name": "LEE",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kenmore, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.