Melinda A. Maxwell, D.C.
Individual provider Active NPI Chiropractor · Newcastle, WA
NPI 1265595375 · NPPES record last updated Jun 14, 2011
Key facts
- NPI
- 1265595375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 00002046 (WA)
- Practice address
- 6965 Coal Creek Pkwy SE
Newcastle, WA 98059-3136 - Phone
- (425) 641-7470
- Fax
- (425) 373-9176
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6965 Coal Creek Pkwy SE
Newcastle, WA 98059-3136
Phone (425) 641-7470
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110816000463 | WA | Practitioner - Chiropractic | 8123919966 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00002046 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness by Design PLLC | Past | Accepting new patients | |
| Chiropractic Wellness Centers at Capitol Hill PS Inc | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 00002046 | WA | Yes |
Addresses
Primary practice location
6965 Coal Creek Pkwy SE
Newcastle, WA 98059-3136
Mailing address
6965 Coal Creek Pkwy SE
Newcastle, WA 98059-3136
Phone (425) 641-7470
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150928 | Other | WA | LABOR AND INDUSTRIES |
| 8914556 | Other | WA | CRIME VICTIMS |
Other names
- Melinda A. Maxwell
Other providers in Newcastle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.