Kelly Marie Perona, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 60308068 Issued in WA

Practice address

417 E Pine St
Suite P
Seattle, WA 98122-2395

Phone

(206) 851-2242

NPI assigned

Jan 22, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Chiropractic

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Flourish Chiropractic of Seattle LLC

  dba Flourish Chiropractic Spa

  • Chiropractor
  • Seattle, WA
  • NPI 1598157406
  NPD (past) Authorized official

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1528306867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 E PINE ST",
            "address_2": "SUITE P",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222395",
            "telephone_number": "206-851-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 E PINE ST",
            "address_2": "SUITE P",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222395",
            "telephone_number": "206-851-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERONA",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-22",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH 60308068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Long Perlow, MD, MPH
• Deborah A. Perman
• Joshua Kennett Perme, LSWAIC
• Lester C Permut
• Alvaro Perona Blazquez
• Lyn Rochelle Perosi, RN
• Elizabeth M Perpetua, ARNP
• Tiffany Michelle Perraut, NP
• Sahra Perretz-Rosales, LICSWA
• Michelle Perrier, MA, LMHCA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.