Active NPI
Alyssa Andrea Alexis, LMP
- Chiropractor
- Renton, WA
National Provider Identifier
1528402450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MA60343902
- Practice address
- 17620 140TH Ave SE
Suite C-5
Renton, WA 98058-6813 - Phone
- (425) 228-2225
- NPI assigned
- Apr 22, 2013
- Last updated
- Nov 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | MA60343902 | WA | Primary |
Addresses
Primary practice location
17620 140TH Ave SE
Suite C-5
Renton, WA 98058-6813
Mailing address
1109 3Rd St SE
Unit a
Auburn, WA 98002-5754
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA60343902 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Chiropractic #7, PLLC | Chiropractor | Past | Accepting new patients |
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, 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": "1366588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446681600000",
"number": "1528402450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 3RD ST SE",
"address_2": "UNIT A",
"city": "AUBURN",
"state": "WA",
"postal_code": "980025754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17620 140TH AVE SE",
"address_2": "SUITE C-5",
"city": "RENTON",
"state": "WA",
"postal_code": "980586813",
"telephone_number": "425-228-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXIS",
"first_name": "ALYSSA",
"middle_name": "ANDREA",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-22",
"last_updated": "2015-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "MA60343902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.