NPIMap

Organization Active NPI

Kin Health & Wellness, SPC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Snohomish, WA
National Provider Identifier
1669952800
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
OP60560271 Issued in WA
Legal business name
KIN HEALTH & WELLNESS, SPC
Practice address
302 Maple Ave
Snohomish, WA 98290-2526
Phone
(603) 568-3319
Fax
(360) 568-5106
NPI assigned
Aug 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Dr. Elizabeth Barrera, DONPI 1407286503
Title
President
Phone
(360) 563-0858

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204D00000X OP60560271 WA Primary
Primary Care Clinic/Center 261QP2300X OP60560271 WA

Addresses

Primary practice location

302 Maple Ave
Snohomish, WA 98290-2526

Mailing address

16204 Roosevelt Rd
Snohomish, WA 98290-8810
Phone (360) 635-0858

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1669952800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16204 ROOSEVELT RD",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982908810",
            "telephone_number": "360-635-0858",
            "fax_number": "360-568-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 MAPLE AVE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902526",
            "telephone_number": "603-568-3319",
            "fax_number": "360-568-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIN HEALTH & WELLNESS, SPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "BARRERA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-563-0858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "WA",
            "license": "OP60560271",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "OP60560271",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snohomish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.