Individual provider Active NPI

Jennifer L Ricker, D.C.

  • Chiropractor
  • Lynnwood, WA
National Provider Identifier
1457538621
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034858 Issued in WA
Practice address
19503 56TH Ave W
Ste. a
Lynnwood, WA 98036-5225
Phone
(425) 776-8303
Fax
(425) 776-8363
NPI assigned
Jan 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034858 WA Primary

Addresses

Primary practice location

19503 56TH Ave W
Ste. a
Lynnwood, WA 98036-5225

Mailing address

19503 56TH Ave W Ste a
Lynnwood, WA 98036-5225
Phone (425) 776-8303

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080317000251 WA Practitioner - Chiropractic 1850476771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

22005 76TH Ave W
Edmonds, WA 98026-7905
Phone (425) 776-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00034858WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Wellness Clinic PLLC CurrentSince Feb 9, 2009 Accepting new patients
DPW Chiropractic PS Chiropractor Past Accepting new patients
New Life Chiropractic Inc PS Chiropractor Past Accepting new patients

Locations

22005 76th Ave W
Edmonds, WA 98026
Phone (425) 670-9097

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1457538621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19503 56TH AVE W STE A",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365225",
            "telephone_number": "425-776-8303",
            "fax_number": "425-776-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19503 56TH AVE W",
            "address_2": "STE. A",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365225",
            "telephone_number": "425-776-8303",
            "fax_number": "425-776-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKER",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.