Kathleen D Lavis, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00002202 Issued in WA

Practice address

1625 W 4TH Ave
St 200
Spokane, WA 99204

Phone

(509) 624-5855

Fax

(509) 838-5779

NPI assigned

Jan 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fourth Avenue Chiropractic ClinicGroup PAC ID 9234025586, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Fourth Avenue Chiropractic Clinic

  dba Fourth Ave Chiropractic Clinic

  • Chiropractor
  • Spokane, WA
  • NPI 1578774360
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518017235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 W 4TH AVE",
            "address_2": "SUITE 200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99204",
            "telephone_number": "509-624-5855",
            "fax_number": "509-838-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 W 4TH AVE",
            "address_2": "ST 200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99204",
            "telephone_number": "509-624-5855",
            "fax_number": "509-838-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVIS",
        "first_name": "KATHLEEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "49743",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret J Lauzon, M.A.
• Lavender Lane Adult Family Home
• Leanna Lavigne-Smith, PHARM.D
• Joshua B Lavigne, ATC
• Robert Lavigne, M.ED.
• Lorianne Lavoie, RD, CD
• Daniel Lavrinenko
• Eric Timothy Lavy, MD
• Louisa V Lavy, MD
• Syrene Alyse Lawal, MSW, LICSW

• Chiropractor in Spokane, WA
• Providers in Spokane, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.