Active NPI
Mimi C Jackson, DC
- Chiropractor
- Seattle, WA
National Provider Identifier
1548412471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60044896
- Practice address
- 2319 N 45TH St. Ste 105
Seattle, WA 98103 - Phone
- (206) 259-8882
- NPI assigned
- Oct 22, 2008
- 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 | CH60044896 | WA | Primary |
Addresses
Primary practice location
2319 N 45TH St. Ste 105
Seattle, WA 98103
Mailing address
2319 N 45TH St. Ste 105
Seattle, WA 98103
Phone (206) 259-8882
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephanie Greenall | Chiropractor | Past | Accepting new patients |
| Lifeplus Health Centers, PS | Chiropractor | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- Lynnwood, WA
- NPI 1669648929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292544000000",
"number": "1548412471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2319 N 45TH ST. STE 105",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98103",
"telephone_number": "206-259-8882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2319 N 45TH ST. STE 105",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98103",
"telephone_number": "206-259-8882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "MIMI",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-22",
"last_updated": "2010-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60044896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.