Individual provider Active NPI

Katie Marie Stamwitz, DC

  • Chiropractor
  • Aberdeen, WA
National Provider Identifier
1215946728
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Practice address
400 West Wishkah
Aberdeen, WA 98520
Phone
(360) 533-6920
Fax
(360) 533-8005
NPI assigned
Aug 5, 2006
Last updated
Jan 4, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X WA Primary

Addresses

Primary practice location

400 West Wishkah
Aberdeen, WA 98520

Mailing address

400 West Wishkah
Aberdeen, WA 98520
Phone (360) 533-6920

Other identifiers 1

IdentifierTypeStateIssuer
225421OtherWAL&I

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050818000712 WA Practitioner - Chiropractic 3476583402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1320 College St SE
Lacey, WA 98503-2366
Phone (360) 459-1320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH000034104WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Axis Health, PLLC Chiropractor CurrentSince Jun 13, 2005 Accepting new patients
KM Stamwitz PLLC Chiropractor CurrentSince Dec 27, 2012 Accepting new patients
Ty C Westenhaver Chiropractor PastSince Apr 1, 1998 Accepting new patients
Jeffrey S Grant PS Chiropractor Past Accepting new patients

Locations

400 W Wishkah St
Aberdeen, WA 98520
Phone (360) 533-6920

1320 College St SE
Lacey, WA 98503
Phone (360) 459-1320

1401 E Jefferson St
Ste 501
Seattle, WA 98122
Phone (206) 324-2225

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, 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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199404800000",
    "number": "1215946728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WEST WISHKAH",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "98520",
            "telephone_number": "360-533-6920",
            "fax_number": "360-533-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WEST WISHKAH",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "98520",
            "telephone_number": "360-533-6920",
            "fax_number": "360-533-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMWITZ",
        "first_name": "KATIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "225421",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; 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.