Individual provider Active NPI

Chelsie Marie Still, D.C.

  • Chiropractor
  • Tumwater, WA
National Provider Identifier
1417592635
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61004375 Issued in WA
Practice address
Tumwater Chiropractic Center PS
128 D St SW Ste a
Tumwater, WA 98501-4064
Phone
(360) 570-9580
Fax
(360) 570-9583
NPI assigned
Nov 12, 2019
Last updated
Nov 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61004375 WA Primary

Addresses

Primary practice location

Tumwater Chiropractic Center PS
128 D St SW Ste a
Tumwater, WA 98501-4064

Mailing address

128 D St SW Ste a
Tumwater, WA 98501-4064
Phone (360) 570-9580

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210218000365 WA Practitioner - Chiropractic 4486069721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tumwater Chiropractic Center P SGroup PAC ID 4385669985, 7 clinicians

Practice addresses (Care Compare)

128 D St SW
Tumwater, WA 98501-4064
Phone (360) 570-9580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tumwater Chiropractic Center PS Chiropractor CurrentSince Jan 1, 2021 Accepting new patients
Physical Therapy Empowered, PLLC CurrentSince Jul 2, 2023 Accepting new patients

Locations

128 D St SW
Tumwater, WA 98501
Phone (360) 349-8606

128 D St SW
Ste A
Tumwater, WA 98501
Phone (360) 570-9580

128 D St SW
Unit A
Tumwater, WA 98501

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1417592635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 D ST SW STE A",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985014064",
            "telephone_number": "360-570-9580",
            "fax_number": "360-570-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TUMWATER CHIROPRACTIC CENTER PS",
            "address_2": "128 D ST SW STE A",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985014064",
            "telephone_number": "360-570-9580",
            "fax_number": "360-570-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILL",
        "first_name": "CHELSIE",
        "middle_name": "MARIE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61004375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.