Active NPI
Penelope Anne Carpenter, DC
- Chiropractor
- Everett, WA
National Provider Identifier
1679587315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1478
- Practice address
- 3713 Rucker #1
Carpenter Chiropractic Center
Everett, WA 98201-4632 - Phone
- (425) 258-1300
- Fax
- (425) 259-7240
- NPI assigned
- Jul 28, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1478 | WA | Primary |
| Chiropractor | 111N00000X | 4416 | MO | |
| Chiropractor | 111N00000X | 2069 | OK |
Addresses
Primary practice location
3713 Rucker #1
Carpenter Chiropractic Center
Everett, WA 98201-4632
Mailing address
3713 Rucker #1
Carpenter Chiropractic Center
Everett, WA 98201-4632
Phone (425) 258-1300
Other names 1
- Penny Anne Marich
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4416 | MO | MD | Chiropractor |
| 1478 | WA | MD | Chiropractor |
| 2069 | OK | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deatherage Chiropractic PLLC | Chiropractor | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679587315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3713 RUCKER #1",
"address_2": "CARPENTER CHIROPRACTIC CENTER",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014632",
"telephone_number": "425-258-1300",
"fax_number": "425-259-7240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3713 RUCKER #1",
"address_2": "CARPENTER CHIROPRACTIC CENTER",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014632",
"telephone_number": "425-258-1300",
"fax_number": "425-259-7240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "PENELOPE",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "1478",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "4416",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "2069",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PENNY",
"last_name": "MARICH",
"middle_name": "ANNE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.