Individual provider Active NPI

Raynel J Hunt, D.C.

  • Chiropractor
  • Washougal, WA
National Provider Identifier
1609973676
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 60096097 Issued in WA
Practice address
1901 Main St
Washougal, WA 98671-4116
Phone
(360) 835-3150
Fax
(360) 835-0459
NPI assigned
Sep 20, 2006
Last updated
Jul 15, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 60096097 WA Primary

Addresses

Primary practice location

1901 Main St
Washougal, WA 98671-4116

Mailing address

PO Box 246
Washougal, WA 98671-0246
Phone (360) 835-3150

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110427000445 WA Practitioner - Chiropractic 0042495558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1901 Main St
Washougal, WA 98671-4116
Phone (360) 835-3150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 60096097WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Washougal Chiropractic Center, Inc Chiropractor CurrentSince Jul 13, 2013 Accepting new patients
Clear Choice Chiropractic PC, Inc. Chiropractor PastSince Mar 24, 2011 Accepting new patients

Locations

1901 Main St
Washougal, WA 98671
Phone (360) 583-4900

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1609973676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 246",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986710246",
            "telephone_number": "360-835-3150",
            "fax_number": "360-835-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MAIN ST",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986714116",
            "telephone_number": "360-835-3150",
            "fax_number": "360-835-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT",
        "first_name": "RAYNEL",
        "middle_name": "J",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH 60096097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washougal, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.