Alicia Burnside, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

61230696 Issued in WA

Practice address

1800 SE Mile Hill Dr Ste 150
Port Orchard, WA 98366-3517

Phone

(360) 874-0232

NPI assigned

Nov 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Holt Chiropractic and Massage PSGroup PAC ID 4587791108, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Holt Chiropractic & Massage PS

  • Chiropractor
  • Port Orchard, WA
  • NPI 1295052454
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1619632338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SE MILE HILL DR STE 150",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663517",
            "telephone_number": "360-874-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SE MILE HILL DR STE 150",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663517",
            "telephone_number": "360-874-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNSIDE",
        "first_name": "ALICIA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "61230696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacie R Brown
• Ann Bridges Bruce, MD
• James H Bryan Jr., RPH
• Rachel L Burgett, ARNP
• Ronald William Burnett, D.C.
• Laurine Burrer
• Isaiah Allen Middleton Burt
• Lauren Marie Burt, CDPT
• Tamara Burt, LMP, MMP
• Leah J Bussard, MOTR/L

• Chiropractor in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.