Organization Active NPI

First Step Spine and Wellness, LLC

  • Chiropractor
  • Kirkland, WA
National Provider Identifier
1194082396
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034810 Issued in WA
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

Updated by the provider on Jul 26, 2016

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.