Individual provider Active NPI

Piyumika Sandamali Fraser, D.C.

  • Chiropractor
  • Kirkland, WA
National Provider Identifier
1669921821
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60446943 Issued in WA
Practice address
10512 NE 68TH St Ste C102
Kirkland, WA 98033-7002
Phone
(425) 889-4701
NPI assigned
Sep 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 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 CH60446943 WA Primary

Addresses

Primary practice location

10512 NE 68TH St Ste C102
Kirkland, WA 98033-7002

Mailing address

10318 244TH St SW
Edmonds, WA 98020-5780
Phone (206) 696-9201

Other names 1

  • Piyumika Appuhamy Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH60446943WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Penry Chiropractic PS Chiropractor PastSince Mar 4, 2021 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1669921821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10318 244TH ST SW",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980205780",
            "telephone_number": "206-696-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10512 NE 68TH ST STE C102",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337002",
            "telephone_number": "425-889-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASER",
        "first_name": "PIYUMIKA",
        "middle_name": "SANDAMALI",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60446943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PIYUMIKA",
            "last_name": "APPUHAMY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.