Green Day Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

GREEN DAY CLINIC

Practice address

4629 168TH St SW
#B3
Lynnwood, WA 98037-8640

Phone

(206) 355-0832

NPI assigned

Feb 12, 2015

Last updated

Feb 12, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Katie Kwon

Title

Office Manager

Phone

(425) 741-0600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1245621218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4629 168TH ST SW # B3",
            "address_2": "#B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980378640",
            "telephone_number": "206-355-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4629 168TH ST SW",
            "address_2": "#B3",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980378640",
            "telephone_number": "206-355-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN DAY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "425-741-0600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Catherine Graves, LMT
• Crystal Gray, PH.D.
• Fredianne Gray, LSWAIC
• Patrick A Gray, MED, LMHC
• Lindsey Greeling, PT, DPT
• Aleksey Brooke Green
• Christopher Isaiah Green, L.M.P.
• Kelley Lorraine Green, MSW, LICSW
• Marissa Rose Green, ARNP
• Noralee Green, MCD, CCC

• Chiropractor in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.