Individual provider Active NPI

Nazariy Stetsyuk, DC

  • Chiropractor
  • Bellevue, WA
National Provider Identifier
1356933972
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61135059 Issued in WA
Practice address
1600 148TH Ave SE Ste a
Bellevue, WA 98007-6852
Phone
(206) 501-0067
NPI assigned
Feb 4, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61135059 WA Primary

Addresses

Primary practice location

1600 148TH Ave SE Ste a
Bellevue, WA 98007-6852

Mailing address

5510 227TH St SE
Bothell, WA 98021-8006
Phone (206) 501-0067

Other identifiers 1

IdentifierTypeStateIssuer
CH61135059OtherWAWA DOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthquest Chiropractic Inc., P.S. Chiropractor CurrentSince Mar 15, 2022 Accepting new patients
Link Chiropractic and Wellness PS Inc Chiropractor Current Accepting new patients

Locations

1600 148th Ave SE
Ste A
Bellevue, WA 98007
Phone (425) 590-9115

25854 108th Ave SE
Kent, WA 98030
Phone (206) 227-2735

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": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1356933972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 227TH ST SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218006",
            "telephone_number": "206-501-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 148TH AVE SE STE A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980076852",
            "telephone_number": "206-501-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STETSYUK",
        "first_name": "NAZARIY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61135059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA DOH",
            "identifier": "CH61135059",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.