Individual provider Active NPI

Carrie Babcox, D.C.

  • Chiropractor
  • Issaquah, WA
National Provider Identifier
1346305125
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034219 Issued in WA
Practice address
6220 E Lake Sammamish Pkwy SE
Suite #a
Issaquah, WA 98029-8925
Phone
(425) 557-8787
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034219 WA Primary

Addresses

Primary practice location

6220 E Lake Sammamish Pkwy SE
Suite #a
Issaquah, WA 98029-8925

Mailing address

6220 E Lake Sammamish Pkwy SE
Suite #a
Issaquah, WA 98029-8925
Phone (425) 557-8787

Other identifiers 1

IdentifierTypeStateIssuer
P00151581OtherWAPALMETTO RR MEDICARE ID#

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040810000080 WA Practitioner - Chiropractic 2365436268 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3970MNMDMental Health Counselor
CH00034219WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hidden Valley Health LLC Chiropractor Current Accepting new patients
Issaquah Family Chiropractic, P.S. Chiropractor CurrentSince Jul 1, 2007 Accepting new patients
Riverview Spine, P.a. Chiropractor PastSince Jul 1, 2005 Accepting new patients

Locations

1320 NW Mall St
Ste A2
Issaquah, WA 98027
Phone (425) 557-8787

3310 E Lk Sammamish Pkwy SE
Ste D
Sammamish, WA 98075
Phone (425) 557-0787

6220 E Lake Sammamish Pkwy SE
Ste A
Sammamish, WA 98029
Phone (425) 557-8787

Organizations & group practices 3

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": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1346305125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 E LAKE SAMMAMISH PKWY SE",
            "address_2": "SUITE #A",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980298925",
            "telephone_number": "425-557-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 E LAKE SAMMAMISH PKWY SE",
            "address_2": "SUITE #A",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980298925",
            "telephone_number": "425-557-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABCOX",
        "first_name": "CARRIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RR MEDICARE ID#",
            "identifier": "P00151581",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.