Organization Active NPI

Jpete2, PLLC

Doing business as Vitall Family Chiropractic

  • Chiropractor
  • Lakewood, WA
National Provider Identifier
1245581396
Registry record updated Aug 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60191318 Issued in WA
Legal business name
JPETE2, PLLC
Doing business as
Vitall Family Chiropractic
Practice address
7504 86TH St SW
Suite 150
Lakewood, WA 98498-6176
Phone
(253) 212-2036
Fax
(253) 302-4096
NPI assigned
Sep 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2016

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

Authorized official

Name
Dr. Julie A Peterson, DC
Title
Owner/Chiropractor
Phone
(253) 212-2036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH60191318 WA Primary

Addresses

Primary practice location

7504 86TH St SW
Suite 150
Lakewood, WA 98498-6176

Mailing address

7504 86TH St SW
Suite 150
Lakewood, WA 98498-6176
Phone (253) 212-2036

Other names 1

  • Vitall Family Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

7504 86th St SW
Ste 150
Lakewood, WA 98498
Phone (253) 212-2036

9144 Burnett Rd SE
Ste B-1
Yelm, WA 98597
Phone (360) 400-2020

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470009600000",
    "number": "1245581396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7504 86TH ST SW",
            "address_2": "SUITE 150",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984986176",
            "telephone_number": "253-212-2036",
            "fax_number": "253-302-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7504 86TH ST SW",
            "address_2": "SUITE 150",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984986176",
            "telephone_number": "253-212-2036",
            "fax_number": "253-302-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JPETE2, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-28",
        "last_updated": "2016-08-01",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "253-212-2036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60191318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vitall Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.