Individual provider Active NPI

Suzanne Marie Shay, D.C.

  • Chiropractor
  • Bothell, WA
National Provider Identifier
1346267069
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH3337 Issued in WA
Practice address
16923 96TH Ave NE
Bothell, WA 98011-1937
Phone
(425) 485-7507
Fax
(425) 483-7332
NPI assigned
Jul 17, 2006
Last updated
Apr 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH3337 WA Primary

Addresses

Primary practice location

16923 96TH Ave NE
Bothell, WA 98011-1937

Mailing address

16923 96TH Ave NE
Bothell, WA 98011-1937
Phone (425) 485-7507

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120530000406 WA Practitioner - Chiropractic 4789847872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doyle Chiropractic Clinic PSGroup PAC ID 9234439233, 2 clinicians

Practice addresses (Care Compare)

16923 96TH Ave NE
Bothell, WA 98011-1937
Phone (425) 485-7507

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH3337WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Doyle Chiropractic Clinic, PS Chiropractor CurrentSince Mar 1, 1999 Accepting new patients

Locations

16923 96th Ave NE
Bothell, WA 98011
Phone (425) 429-2334

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1346267069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16923 96TH AVE NE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980111937",
            "telephone_number": "425-485-7507",
            "fax_number": "425-483-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16923 96TH AVE NE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980111937",
            "telephone_number": "425-485-7507",
            "fax_number": "425-483-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAY",
        "first_name": "SUZANNE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH3337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.