Individual provider Active NPI

Sharonrose Ann Samelak, D.C.

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1376813154
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009900 Issued in MI
Practice address
1938 Fairview Ave E Ste 200
Seattle, WA 98102-3650
Phone
(206) 565-9691
NPI assigned
Jan 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009900 MI Primary

Addresses

Primary practice location

1938 Fairview Ave E Ste 200
Seattle, WA 98102-3650

Mailing address

1938 Fairview Ave E Ste 200
Seattle, WA 98102-3650
Phone (206) 565-9691

Other identifiers 2

IdentifierTypeStateIssuer
9175836OtherMIAETNA
0H27454OtherMIBCBS OF MICHIGAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161123001450 WA Practitioner - Chiropractic 1557528031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seed of Life Chiropractic and Wellness PLLCGroup PAC ID 5890074397, 2 clinicians

Practice addresses (Care Compare)

1938 Fairview Ave E
Suite 200
Seattle, WA 98102-3650
Phone (206) 565-9691

701 N 36TH St
Suite 440
Seattle, WA 98103-8868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301009900MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dimartino Livonia PC Chiropractor PastSince May 25, 2021 Accepting new patients
James Kravis, D.C., P.C. Chiropractor PastSince May 1, 2002 Accepting new patients

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": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1376813154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1938 FAIRVIEW AVE E STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023650",
            "telephone_number": "206-565-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1938 FAIRVIEW AVE E STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023650",
            "telephone_number": "206-565-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMELAK",
        "first_name": "SHARONROSE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-10",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9175836",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "0H27454",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.