Individual provider Active NPI

Michele Cynthia Lynn Fuerst

  • Chiropractor
  • Gig Harbor, WA
National Provider Identifier
1205303286
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
60893557 Issued in WA
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

Updated by the provider on Oct 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20190208001964 WA Practitioner - Chiropractic 8628316189 Reassigns benefits to 1 organization

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
Functional Health Consulting LLCGroup PAC ID 1759560709, 36 clinicians

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

LicenseStateTypeSpecialty
60893557WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Health Consulting, LLC Current Accepting new patients
Functional Health Consulting, LLC Chiropractor CurrentSince Sep 4, 2024 Accepting new patients
Functional Health Consulting, LLC PastSince Sep 4, 2024 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.

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.

Verify at the official NPI Registry.