Angela L Sullivan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034466 Issued in WA

Practice address

110 Columbia Point Dr
Richland, WA 99352-4387

Phone

(509) 946-7692

Fax

(509) 943-8639

NPI assigned

Dec 7, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Angela L Daghestanian Other name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Los Angeles, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Chiropractic Wellness Center,LLCGroup PAC ID 1456428218, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Family Chiropractic Wellness Center LLC

  • Chiropractor
  • Richland, WA
  • NPI 1427221308
  Medicare reassignment Care Compare group NPD Authorized official
• Alliance Chiropractic Clinic, P.S.

  • Chiropractor
  • West Richland, WA
  • NPI 1932394251
  NPD (past)
• Cantley Vision Inc PS

  • Optometrist
  • Richland, WA
  • NPI 1811109671
  NPD (past)
• Mark WM Houk ,D.C. P.S.

  • Chiropractor
  • Spokane, WA
  • NPI 1528046778
  NPD (past)
• Houk Chiropractic-Coeur D'Alene P.C.

  • Chiropractor
  • Coeur D Alene, ID
  • NPI 1104264811
  NPD (past)

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1396720835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 COLUMBIA POINT DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524387",
            "telephone_number": "509-946-7692",
            "fax_number": "509-943-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 COLUMBIA POINT DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524387",
            "telephone_number": "509-946-7692",
            "fax_number": "509-943-8639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ANGELA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "CH00034466",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "DAGHESTANIAN",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Donald Struthers
• Alecia C Sturgill, PA
• Kellyanne Margaret Suarez, FNP-BC
• Radhika K Subramanian, MD
• George William Such, D.C.
• Icel R Sullivan, ARNP
• Jeffrey Allen Sullivan, D.C.
• Linell Summers, R.C.
• Kristine E Sumner, SLP
• Sun River Speech Therapy, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.