Active NPI
Hailey Fay Taylor
- Massage Therapist
- Chewelah, WA
National Provider Identifier
1306424205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 61039173
- Practice address
- 103 E Main Ave
Chewelah, WA 99109-8960 - Phone
- (509) 935-2225
- NPI assigned
- Mar 31, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 00033990 | WA | |
| Massage Therapist | 225700000X | 61039173 | WA | Primary |
Addresses
Primary practice location
103 E Main Ave
Chewelah, WA 99109-8960
Mailing address
PO Box 203
Chewelah, WA 99109-0203
Phone (509) 935-2225
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942309687 | Other | WA | CHIROPRACTIC |
| 1427045566 | Other | WA | CHIROPRACTIC BILLING |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00033990 | WA | MD | Chiropractor |
| 61039173 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Champion Family Chiropractic, | Chiropractor | Current | Accepting new patients |
Locations
103 E Main Ave
Chewelah, WA 99109
Phone (509) 935-2225
Organizations & group practices 1
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.
-
- Chiropractor
- Chewelah, WA
- NPI 1427045566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1306424205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 203",
"city": "CHEWELAH",
"state": "WA",
"postal_code": "991090203",
"telephone_number": "509-935-2225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 E MAIN AVE",
"city": "CHEWELAH",
"state": "WA",
"postal_code": "991098960",
"telephone_number": "509-935-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "HAILEY",
"middle_name": "FAY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-31",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "00033990",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "61039173",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC",
"identifier": "1942309687",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC BILLING",
"identifier": "1427045566",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chewelah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.