NPIMap

Organization Active NPI

Healthy Life Chiropractic Clinic, PLLC

  • Chiropractor
  • Snohomish, WA
National Provider Identifier
1336311943
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00033909 Issued in WA
Legal business name
HEALTHY LIFE CHIROPRACTIC CLINIC, PLLC
Practice address
811 Rainier St
Snohomish, WA 98290-2958
Phone
(360) 568-8800
Fax
(360) 568-0581
NPI assigned
Mar 24, 2008
Last updated
Mar 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Kari L Gibson, D.C.NPI 1407854805
Title
Registered Agent
Phone
(206) 595-9616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00033909 WA Primary

Addresses

Primary practice location

811 Rainier St
Snohomish, WA 98290-2958

Mailing address

811 Rainier St
Snohomish, WA 98290-2958
Phone (360) 568-8800

Other identifiers 1

IdentifierTypeStateIssuer
AB26284OtherMEDICARE PROVIDER #

National Provider Directory

National Provider Directory

Locations

209 Avenue D
Ste 100A
Snohomish, WA 98290
Phone (360) 568-8800

811 Rainier St
Snohomish, WA 98290
Phone (360) 568-0581

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1336311943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 RAINIER ST",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902958",
            "telephone_number": "360-568-8800",
            "fax_number": "360-568-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 RAINIER ST",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902958",
            "telephone_number": "360-568-8800",
            "fax_number": "360-568-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIFE CHIROPRACTIC CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "KARI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "206-595-9616",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00033909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "AB26284",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snohomish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.