Active NPI
Kari Lynn Gibson, DC
- Chiropractor
- Snohomish, WA
National Provider Identifier
1407854805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 33909
- Practice address
- 811 Rainier St
Snohomish, WA 98290-2958 - Phone
- (360) 568-8800
- Fax
- (425) 487-6818
- NPI assigned
- Jul 9, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 33909 | WA | Primary |
Addresses
Primary practice location
811 Rainier St
Snohomish, WA 98290-2958
Mailing address
811 Rainier St
Snohomish, WA 98290-2958
Phone (360) 568-8800
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33909 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bothell Regenerative Medicine | Past | Accepting new patients | |
| Kaufman Chiropractic Clinic Inc | Chiropractor | Past | Accepting new patients |
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.
-
- Naturopath
- Bothell, WA
- NPI 1043872716
-
- Chiropractor
- Bothell, WA
- NPI 1265527386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196035200000",
"number": "1407854805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 RAINIER ST",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982902958",
"telephone_number": "360-568-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 RAINIER ST",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982902958",
"telephone_number": "360-568-8800",
"fax_number": "425-487-6818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "KARI",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-09",
"last_updated": "2007-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "33909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Snohomish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.