Active NPI
Susan J Naccarato, DC
- Chiropractor
- Liberty Lake, WA
National Provider Identifier
1619985595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00033940
- Practice address
- 21651 E Country Vista Dr
Suite F
Liberty Lake, WA 99019-7708 - Phone
- (509) 319-2310
- NPI assigned
- Aug 4, 2006
- 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 | CH00033940 | WA | Primary |
Addresses
Primary practice location
21651 E Country Vista Dr
Suite F
Liberty Lake, WA 99019-7708
Mailing address
21651 E Country Vista Dr
Suite F
Liberty Lake, WA 99019-7708
Phone (509) 319-2310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040422000120 | WA | Practitioner - Chiropractic | 1759377104 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Barrett Family Chiropractic
Practice addresses (Care Compare)
21651 E Country Vista Dr
Suite F
Liberty Lake, WA 99019-7709
Phone (509) 319-2310
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barrett Family Chiropractic | Chiropractor | Current | Accepting new patients |
Locations
21651 E Country Vista Dr
Ste F
Liberty Lake, WA 99019
Phone (509) 319-2310
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 and National Provider Directory roles.
-
- Chiropractor
- Liberty Lake, WA
- NPI 1922473982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449705600000",
"number": "1619985595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21651 E COUNTRY VISTA DR",
"address_2": "SUITE F",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990197708",
"telephone_number": "509-319-2310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21651 E COUNTRY VISTA DR",
"address_2": "SUITE F",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990197708",
"telephone_number": "509-319-2310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NACCARATO",
"first_name": "SUSAN",
"middle_name": "J",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2015-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00033940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Liberty Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.