Individual provider Active NPI

Nicole Allison Morin, D.C.

  • Chiropractor
  • Lake Stevens, WA
National Provider Identifier
1629074497
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHOOOO3682 Issued in WA
Practice address
9327 4TH St NE
Suite 6
Lake Stevens, WA 98258-1630
Phone
(425) 334-6258
Fax
(425) 334-1187
NPI assigned
Jun 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHOOOO3682 WA Primary

Addresses

Primary practice location

9327 4TH St NE
Suite 6
Lake Stevens, WA 98258-1630

Mailing address

9327 4TH St NE
Suite 6
Lake Stevens, WA 98258-1630
Phone (425) 334-6258

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

State licenses

LicenseStateTypeSpecialty
CHOOOO3682WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Chiropractic LLC Chiropractor PastSince Jan 19, 2025 Accepting new patients
Ernst Chiropractic Clinic PS Chiropractor PastSince Aug 23, 1990 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.

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1629074497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9327 4TH ST NE",
            "address_2": "SUITE 6",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982581630",
            "telephone_number": "425-334-6258",
            "fax_number": "425-334-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9327 4TH ST NE",
            "address_2": "SUITE 6",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982581630",
            "telephone_number": "425-334-6258",
            "fax_number": "425-334-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIN",
        "first_name": "NICOLE",
        "middle_name": "ALLISON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-24",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CHOOOO3682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Stevens, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.