Active NPI
First Step Spine and Wellness, LLC
- Chiropractor
- Kirkland, WA
National Provider Identifier
1194082396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00034810
- Legal business name
- FIRST STEP SPINE AND WELLNESS, LLC
- Practice address
- 12006 98TH Ave NE
Kirkland, WA 98034-4218 - Phone
- (425) 394-3991
- NPI assigned
- Apr 12, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeremiah Lee Tibbitts, DC
- Title
- Chiropractor/Owner
- Phone
- (425) 394-3991
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00034810 | WA | Primary |
Addresses
Primary practice location
12006 98TH Ave NE
Kirkland, WA 98034-4218
Mailing address
13397 Prospector Ridge Rd SE
Monroe, WA 98272-2835
Phone (425) 394-3991
Other names 1
- jeremiah tibbitts dc
National Provider Directory
National Provider DirectoryLocations
12006 98th Ave NE
Kirkland, WA 98034
Phone (425) 394-3991
8324 165th Ave NE
Redmond, WA 98052
Phone (206) 276-8190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469491200000",
"number": "1194082396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13397 PROSPECTOR RIDGE RD SE",
"city": "MONROE",
"state": "WA",
"postal_code": "982722835",
"telephone_number": "425-394-3991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12006 98TH AVE NE",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980344218",
"telephone_number": "425-394-3991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST STEP SPINE AND WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-12",
"last_updated": "2016-07-26",
"status": "A",
"authorized_official_last_name": "TIBBITTS",
"authorized_official_first_name": "JEREMIAH",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
"authorized_official_telephone_number": "425-394-3991",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00034810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "jeremiah tibbitts dc",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.