Vashon Chiropractic, PS

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

VASHON CHIROPRACTIC, PS

Doing business as

Vashon Chiropractic

Practice address

17147 Vashon Hwy SW Ste 111
Vashon, WA 98070-4603

Phone

(206) 259-0216

NPI assigned

Jan 29, 2024

Last updated

Jan 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Corene Bodily-Goodmansen, DCNPI 1043491889

Title

Owner

Phone

(253) 347-0102

Specialties & licenses 1

Addresses

Other names 1

• Vashon Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

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.

• Corene Kay Bodily-Goodmansen, D.C.

  • Chiropractor
  • Vashon, WA
  • NPI 1043491889
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1386406064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2421",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980702421",
            "telephone_number": "206-259-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17147 VASHON HWY SW STE 111",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980704603",
            "telephone_number": "206-259-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASHON CHIROPRACTIC, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-27",
        "status": "A",
        "authorized_official_last_name": "BODILY-GOODMANSEN",
        "authorized_official_first_name": "CORENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-347-0102",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vashon Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Paulson Timken, LMHCA
• Understory Therapy, PLLC
• Joanna Vance, LAC
• Haley Vandenhazel, MS
• Nancy Elaine Vanputten, OTR/L
• Vashon Family Dentistry
• Vashon Island Elder Care (Island Elder Care)
• Vashon Island Elder Care 2 Inc (Island Elder Care)
• Vashon Island Fire & Rescue
• Vashon Island Fire and Rescue

• Chiropractor in Vashon, WA
• Providers in Vashon, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.