Individual provider Active NPI

Jeanine Wolf-Richter, D.C.

  • Chiropractor
  • Federal Way, WA
National Provider Identifier
1316002330
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2631 Issued in WA
Practice address
622 S 320TH St Ste B
Federal Way, WA 98003-5263
Phone
(206) 818-6870
Fax
(253) 838-0505
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2631 WA Primary

Addresses

Primary practice location

622 S 320TH St Ste B
Federal Way, WA 98003-5263

Mailing address

622 S 320TH St Ste B
Federal Way, WA 98003-5263
Phone (206) 818-6870

Other identifiers 1

IdentifierTypeStateIssuer
0154535OtherWADLI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040422000799 WA Practitioner - Chiropractic 9436145778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

622 S 320TH St
Suite B
Federal Way, WA 98003-4895
Phone (253) 838-7300

622 S 320TH St
Suite B
Federal Way, WA 98003-5263

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2631WAMDChiropractor

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.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1316002330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 S 320TH ST STE B",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035263",
            "telephone_number": "206-818-6870",
            "fax_number": "253-838-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 S 320TH ST STE B",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035263",
            "telephone_number": "206-818-6870",
            "fax_number": "253-838-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF-RICHTER",
        "first_name": "JEANINE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "2631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DLI",
            "identifier": "0154535",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.