Individual provider Active NPI

Lisha Annemarie Ribellia, D.C.

  • Chiropractor
  • Maple Valley, WA
National Provider Identifier
1528367364
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60207934 Issued in WA
Practice address
27203 216TH Ave SE
Suite 1
Maple Valley, WA 98038-3273
Phone
(425) 432-4621
Fax
(425) 432-6495
NPI assigned
Mar 18, 2011
Last updated
Mar 18, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60207934 WA Primary

Addresses

Primary practice location

27203 216TH Ave SE
Suite 1
Maple Valley, WA 98038-3273

Mailing address

26907 171St PL SE
Apt. L301
Covington, WA 98042-7332
Phone (509) 771-3925

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110920000130 WA Practitioner - Chiropractic 4385815562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Ribellia Chiropractic Enterprises PLLCGroup PAC ID 1052730488, 2 clinicians

Practice addresses (Care Compare)

305 E Broadway Ave
Moses Lake, WA 98837-1719
Phone (509) 766-8428

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH60207934WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ribellia Chiropractic Enterprises PLLC Chiropractor CurrentSince Sep 8, 2020 Accepting new patients
Pearson Chiropractic PLLC PastSince Aug 9, 2025 Accepting new patients

Locations

305 E Broadway Ave
Moses Lake, WA 98837
Phone (509) 766-7300

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1528367364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26907 171ST PL SE",
            "address_2": "APT. L301",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980427332",
            "telephone_number": "509-771-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27203 216TH AVE SE",
            "address_2": "SUITE 1",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980383273",
            "telephone_number": "425-432-4621",
            "fax_number": "425-432-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBELLIA",
        "first_name": "LISHA",
        "middle_name": "ANNEMARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60207934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.