Individual provider Active NPI

Shaka Hatcher, DC

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1679181952
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
61025724 Issued in WA
Practice address
3121 E Madison St Ste 103a
Seattle, WA 98112-4238
Phone
(206) 326-8448
NPI assigned
Jul 22, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 61025724 WA Primary

Addresses

Primary practice location

3121 E Madison St Ste 103a
Seattle, WA 98112-4238

Mailing address

3121 E Madison St Ste 103a
Seattle, WA 98112-4238
Phone (206) 326-8448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210105003060 WA Practitioner - Chiropractic 9335552637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3121 E Madison St
Suite 103a
Seattle, WA 98112-4238
Phone (206) 695-2579

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61025724WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
New Leaf Chiropractic & Wellness PS Chiropractor CurrentSince Aug 6, 2023 Accepting new patients

Locations

3121 E Madison St
Ste 103A
Seattle, WA 98112
Phone (206) 326-8448

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": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1679181952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 E MADISON ST STE 103A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124238",
            "telephone_number": "206-326-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 E MADISON ST STE 103A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124238",
            "telephone_number": "206-326-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATCHER",
        "first_name": "SHAKA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-22",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "61025724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.

Verify at the official NPI Registry.