NPIMap

Organization Active NPI

Core Accident & Injury Clinic LLC

  • Massage Therapist
  • Edmonds, WA
National Provider Identifier
1457132839
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
CORE ACCIDENT & INJURY CLINIC LLC
Practice address
22727 Hwy 99 Ste 205
Edmonds, WA 98026
Phone
(425) 471-4083
Fax
(425) 577-6509
NPI assigned
Oct 11, 2023
Last updated
Oct 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Authorized official

Name
Stacey Skye Lefevre, LMT
Title
LMT/Co Owner
Phone
(425) 471-4083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X Primary

Addresses

Primary practice location

22727 Hwy 99 Ste 205
Edmonds, WA 98026

Mailing address

22727 Hwy 99
Ste 205
Edmonds, WA 98026

Other names 1

  • Cornerstone Chiropractic Clinic Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Core Accident Injury2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1457132839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22727 HWY 99",
            "address_2": "STE 205",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "98026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22727 HWY 99 STE 205",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "98026",
            "telephone_number": "425-471-4083",
            "fax_number": "425-577-6509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE ACCIDENT & INJURY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "LEFEVRE",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "SKYE",
        "authorized_official_title_or_position": "LMT/CO OWNER",
        "authorized_official_telephone_number": "425-471-4083",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Chiropractic Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.