Active NPI
Cheris Paresa, D.C.
- Chiropractor
- Sumner, WA
National Provider Identifier
1194029595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60020433
- Practice address
- 1818 Main St Ste D
Sumner, WA 98390-1853 - Phone
- (253) 863-9695
- Fax
- (253) 863-9694
- NPI assigned
- Dec 29, 2010
- Last updated
- Dec 29, 2010
- 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 | CH60020433 | WA | Primary |
Addresses
Primary practice location
1818 Main St Ste D
Sumner, WA 98390-1853
Mailing address
1818 Main St Ste D
Sumner, WA 98390-1853
Phone (253) 863-9695
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
920 Alder Ave
Suite 201
Sumner, WA 98390-1401
Phone (253) 863-9695
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH60020433 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vibrant Life Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
Locations
920 Alder Ave
Ste 201
Sumner, WA 98390
Phone (253) 468-0596
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": "1293580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293580800000",
"number": "1194029595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 MAIN ST STE D",
"city": "SUMNER",
"state": "WA",
"postal_code": "983901853",
"telephone_number": "253-863-9695",
"fax_number": "253-863-9694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 MAIN ST STE D",
"city": "SUMNER",
"state": "WA",
"postal_code": "983901853",
"telephone_number": "253-863-9695",
"fax_number": "253-863-9694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARESA",
"first_name": "CHERIS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-29",
"last_updated": "2010-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60020433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sumner, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; 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.