Abundant Life Health Center, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00002908 Issued in WA

Legal business name

ABUNDANT LIFE HEALTH CENTER, INC.

Practice address

22002 64TH Ave W
Suite 2E
Mountlake Terrace, WA 98043-2528

Phone

(425) 774-7982

Fax

(425) 672-4464

NPI assigned

Oct 18, 2007

Last updated

Oct 18, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary K Wright, D.C.NPI 1891828968

Title

Vice President

Phone

(425) 774-7982

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary K. Wright, D.C.

  • Chiropractor
  • Mountlake Terrace, WA
  • NPI 1891828968
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1639368301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22002 64TH AVE W",
            "address_2": "SUITE 2E",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432528",
            "telephone_number": "425-774-7982",
            "fax_number": "425-672-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22002 64TH AVE W",
            "address_2": "SUITE 2E",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432528",
            "telephone_number": "425-774-7982",
            "fax_number": "425-672-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIFE HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "425-774-7982",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destine Elle Abbott, L.M.P
• Mary Miller Acker, M.A. CCC-SLP
• Acu Health Clinic LLC
• Allison Carole Adams, RN
• Kayla Ana Adaricci
• Bagher Afshari Gharyaghdi

• Chiropractor in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.