Jeffrey Scott Hannah, DC
Individual provider Active NPI Chiropractor · Mead, WA
NPI 1457059909 · NPPES record last updated Feb 22, 2023
Key facts
- NPI
- 1457059909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 61365453 (WA)
- Practice address
- 15325 N Newport Hwy
Mead, WA 99021-9592 - Phone
- (509) 315-8166
- NPI assigned
- Feb 22, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
- Group practices
- CR Clearview LLC
Practice addresses (Care Compare)
2503 E 27TH Ave
Spokane, WA 99223-4908
Phone (509) 315-8166
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230523003229 | WA | Practitioner - Chiropractic | 5799141321 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61365453 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CR Clearview LLC | Chiropractor | Current |
Accepting new patients |
| White and Associates LLC | Chiropractor | Past |
Accepting new patients |
Locations
2503 E 27th Ave
Spokane, WA 99223
Phone (509) 315-8166
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 61365453 | WA | Yes |
Addresses
Primary practice location
15325 N Newport Hwy
Mead, WA 99021-9592
Mailing address
15325 N Newport Hwy
Mead, WA 99021-9592
Phone (509) 315-8166
Other practice location 1
2503 E 27th Ave # Ace
Spokane, WA 99223-4908
Phone (509) 315-8166
Other providers in Mead, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.