Individual provider Active NPI

Kaelyn Voss

  • Chiropractor
  • Graham, WA
National Provider Identifier
1558022889
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61255415 Issued in WA
Practice address
10107 213TH St E
Graham, WA 98338-8059
Phone
(253) 847-2687
NPI assigned
Jan 8, 2022
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner Chiropractor 111NI0013X CH61255415 WA
Radiology Chiropractor 111NR0200X CH61255415 WA
Rehabilitation Chiropractor 111NR0400X CH61255415 WA
Sports Physician Chiropractor 111NS0005X CH61255415 WA
Occupational Health Chiropractor 111NX0100X CH61255415 WA
Orthopedic Chiropractor 111NX0800X CH61255415 WA
Chiropractor 111N00000X CH61255415 WA Primary

Addresses

Primary practice location

10107 213TH St E
Graham, WA 98338-8059

Mailing address

PO Box 988
Graham, WA 98338-0988

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vosschiro@outlook.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220504002346 WA Practitioner - ChiropracticPractitioner - Diagnostic Radiology 0143617456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Diagnostic Radiology
Education
Western States College of Chiropractic, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Voss Chiropractic, P.S.Group PAC ID 1355380536, 2 clinicians

Practice addresses (Care Compare)

10107 213TH St E
Graham, WA 98338-0988
Phone (253) 847-2687

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH61255415WAMDRadiology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Voss Chiropractic, P.S. Chiropractor CurrentSince Apr 28, 2022 Accepting new patients
Clark Therapeutic Massage PastSince Jan 21, 2022 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, 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": "1641600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1558022889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 988",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983380988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10107 213TH ST E",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983388059",
            "telephone_number": "253-847-2687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOSS",
        "first_name": "KAELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-08",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "WA",
            "license": "CH61255415",
            "primary": false
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "WA",
            "license": "CH61255415",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "WA",
            "license": "CH61255415",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "WA",
            "license": "CH61255415",
            "primary": false
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "WA",
            "license": "CH61255415",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "WA",
            "license": "CH61255415",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61255415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vosschiro@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Office Email",
            "address_1": "10107 213th St E",
            "city": "Graham",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983388059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Graham, WA

Sources for this page

Verify at the official NPI Registry.