Organization Active NPI

Cross Chiropractic PS

  • Chiropractor
  • Eatonville, WA
National Provider Identifier
1457369449
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH3549 Issued in WA
Legal business name
CROSS CHIROPRACTIC PS
Practice address
47207 138TH Ave E
Eatonville, WA 98328
Phone
(360) 832-3117
Fax
(360) 832-4815
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Nancy Faye Cross, DC
Title
President
Phone
(360) 832-3117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH3549 WA Primary

Addresses

Primary practice location

47207 138TH Ave E
Eatonville, WA 98328

Mailing address

PO Box 657
Eatonville, WA 98328-0657
Phone (360) 832-3117

Other identifiers 1

IdentifierTypeStateIssuer
120012143211OtherWALABOR & INDUSTRIES

Other names 1

  • Nancy F Cross DC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457369449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 657",
            "city": "EATONVILLE",
            "state": "WA",
            "postal_code": "983280657",
            "telephone_number": "360-832-3117",
            "fax_number": "360-832-4815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47207 138TH AVE E",
            "city": "EATONVILLE",
            "state": "WA",
            "postal_code": "98328",
            "telephone_number": "360-832-3117",
            "fax_number": "360-832-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS CHIROPRACTIC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-832-3117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH3549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "120012143211",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nancy F Cross DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eatonville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.