Individual provider Active NPI

Belinda Eddy, D.C.

  • Chiropractor
  • Mill Creek, WA
National Provider Identifier
1467517193
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003634 Issued in WA
Practice address
15111 Main St Ste A103
Mill Creek, WA 98012-9037
Phone
(425) 742-7772
Fax
(425) 742-7772
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00003634 WA Primary

Addresses

Primary practice location

15111 Main St Ste A103
Mill Creek, WA 98012-9037

Mailing address

15111 Main St Ste A103
Mill Creek, WA 98012-9037
Phone (425) 742-7772

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120419000622 WA Practitioner - Chiropractic 0840451787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vital Chiropractic Center PLLCGroup PAC ID 2163414087, 2 clinicians

Practice addresses (Care Compare)

15111 Main St
Suite A103
Mill Creek, WA 98012-9037
Phone (425) 742-7772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3634WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Chiropractic Center, PLLC Chiropractor CurrentSince May 1, 2002 Accepting new patients

Locations

1332 164th St SW
#401
Lynnwood, WA 98087
Phone (425) 742-7772

15111 Main St
Ste A103
Mill Creek, WA 98012
Phone (425) 742-7772

Organizations & group practices 1

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": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1467517193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15111 MAIN ST STE A103",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980129037",
            "telephone_number": "425-742-7772",
            "fax_number": "425-742-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15111 MAIN ST STE A103",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980129037",
            "telephone_number": "425-742-7772",
            "fax_number": "425-742-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDY",
        "first_name": "BELINDA",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 5, 2024; 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.