Individual provider Active NPI

Emily Jayne Anderson

  • Chiropractor
  • Kirkland, WA
National Provider Identifier
1306547112
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61416812 Issued in WA
Practice address
12006 98TH Ave NE Ste 104
Kirkland, WA 98034-4218
Phone
(425) 475-1729
Fax
(425) 962-3578
NPI assigned
Mar 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61416812 WA Primary

Addresses

Primary practice location

12006 98TH Ave NE Ste 104
Kirkland, WA 98034-4218

Mailing address

12006 98TH Ave NE Ste 104
Kirkland, WA 98034-4218
Phone (425) 475-1729

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230524002493 WA Practitioner - Chiropractic 3678939261 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH61416812WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Abrams Chiropractic Clinic PLLC Chiropractor CurrentSince Apr 30, 2023 Accepting new patients
Emily J Anderson Chiropractor PLLC Dba Renew Chiropractic Chiropractor CurrentSince Jan 26, 2024 Accepting new patients

Locations

822 6th St S
#B
Kirkland, WA 98033
Phone (425) 889-1403

12006 98th Ave NE
Ste 104
Kirkland, WA 98034
Phone (425) 475-1729

14326 Greenwood Ave N
Seattle, WA 98133
Phone (206) 440-8702

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1306547112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12006 98TH AVE NE STE 104",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344218",
            "telephone_number": "425-475-1729",
            "fax_number": "425-962-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12006 98TH AVE NE STE 104",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344218",
            "telephone_number": "425-475-1729",
            "fax_number": "425-962-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "EMILY",
        "middle_name": "JAYNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-17",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61416812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.