Individual provider Active NPI

Emily M Anguiano, DC

  • Chiropractor
  • Mill Creek, WA
National Provider Identifier
1447848361
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61106630 Issued in WA
Practice address
1700 132ND St SE Ste C
Mill Creek, WA 98012-5309
Phone
(425) 338-1555
Fax
(425) 338-0765
NPI assigned
Jan 6, 2021
Last updated
Jan 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61106630 WA Primary

Addresses

Primary practice location

1700 132ND St SE Ste C
Mill Creek, WA 98012-5309

Mailing address

9716 83Rd Ave NE
Marysville, WA 98270-7952
Phone (206) 963-7772

Other names 1

  • Emily M a Reilly Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210809002367 WA Practitioner - Chiropractic 5991109274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Functional Health Consulting LLCGroup PAC ID 1759560709, 36 clinicians

Practice addresses (Care Compare)

2014 E Madison St
Suite 100
Seattle, WA 98122-2965
Phone (206) 726-9551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bmi DC PS Chiropractor CurrentSince Jan 10, 2021 Accepting new patients
Functional Health Consulting, LLC CurrentSince Jun 28, 2021 Accepting new patients
Functional Health Consulting, LLC Chiropractor CurrentSince Jun 28, 2021 Accepting new patients
Functional Health Consulting, LLC Single Specialty Current Accepting new patients
Functional Health Consulting, LLC Single Specialty Past Accepting new patients

Locations

15 SW Everett Mall Way
Ste G
Everett, WA 98204
Phone (425) 355-5222

1700 132nd St SE
Ste C
Mill Creek, WA 98012
Phone (425) 338-1555

2014 E Madison St
Ste 100
Seattle, WA 98122
Phone (206) 726-9551

Organizations & group practices 5

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": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1447848361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9716 83RD AVE NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982707952",
            "telephone_number": "206-963-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 132ND ST SE STE C",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980125309",
            "telephone_number": "425-338-1555",
            "fax_number": "425-338-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGUIANO",
        "first_name": "EMILY",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61106630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "REILLY",
            "middle_name": "M A",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mill Creek, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.