Individual provider Active NPI

Meridee Lynn Senick, DOCTOR OF CHIROPRATI

  • Chiropractor
  • Mill Creek, WA
National Provider Identifier
1487790127
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034378 Issued in WA
Practice address
15224 Main St Ste 303
Mill Creek, WA 98012-7332
Phone
(425) 357-1105
Fax
(425) 379-9771
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034378 WA Primary

Addresses

Primary practice location

15224 Main St Ste 303
Mill Creek, WA 98012-7332

Mailing address

15224 Main St Ste 303
Mill Creek, WA 98012-7332
Phone (425) 357-1105

Other identifiers 1

IdentifierTypeStateIssuer
0196142OtherWALABOR & INDUSTRIES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00034378WAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1487790127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15224 MAIN ST STE 303",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980127332",
            "telephone_number": "425-357-1105",
            "fax_number": "425-379-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15224 MAIN ST STE 303",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980127332",
            "telephone_number": "425-357-1105",
            "fax_number": "425-379-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENICK",
        "first_name": "MERIDEE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "DOCTOR OF CHIROPRATI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0196142",
            "state": "WA"
        }
    ],
    "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 17, 2013; 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.