Active NPI
Michele Cynthia Lynn Fuerst
- Chiropractor
- Gig Harbor, WA
National Provider Identifier
1205303286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 60893557
- Practice address
- 11430 51St Ave NW Ste 101a
Gig Harbor, WA 98332-7897 - Phone
- (253) 857-6500
- NPI assigned
- Oct 29, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 60893557 | WA | Primary |
Addresses
Primary practice location
11430 51St Ave NW Ste 101a
Gig Harbor, WA 98332-7897
Mailing address
11430 51St Ave NW Ste 101a
Gig Harbor, WA 98332-7897
Phone (253) 857-6500
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
- Life Chiropractic College, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2715 Sunset LN NE
Suite 6
Renton, WA 98056-3144
Phone (425) 873-6184
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60893557 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Functional Health Consulting, LLC | Current | Accepting new patients | |
| Functional Health Consulting, LLC | Chiropractor | Current | Accepting new patients |
| Functional Health Consulting, LLC | Past | Accepting new patients | |
| Functional Health Consulting, LLC | Past | Accepting new patients |
Locations
15 SW Everett Mall Way
Ste G
Everett, WA 98204
Phone (425) 355-5222
2014 E Madison St
Ste 100
Seattle, WA 98122
Phone (206) 726-9551
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Sports Physician Chiropractor
- Seattle, WA
- NPI 1871801522
-
- Chiropractor
- Renton, WA
- NPI 1598548877
-
- Rehabilitation Chiropractor
- Everett, WA
- NPI 1619226891
-
- Sports Physician Chiropractor
- Kirkland, WA
- NPI 1790261444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540771200000",
"number": "1205303286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11430 51ST AVE NW STE 101A",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983327897",
"telephone_number": "253-857-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11430 51ST AVE NW STE 101A",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983327897",
"telephone_number": "253-857-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUERST",
"first_name": "MICHELE",
"middle_name": "CYNTHIA LYNN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-29",
"last_updated": "2018-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "60893557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gig Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.