Active NPI
Kyla Nakamura, DC
- Chiropractor
- Bonney Lake, WA
National Provider Identifier
1699339291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60940276
- Practice address
- 9812 205TH Ave E Ste C
Bonney Lake, WA 98391-8275 - Phone
- (253) 863-6378
- NPI assigned
- Apr 29, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH60940276 | WA | Primary |
Addresses
Primary practice location
9812 205TH Ave E Ste C
Bonney Lake, WA 98391-8275
Mailing address
9812 205TH Ave E Ste C
Bonney Lake, WA 98391-8275
Phone (253) 863-6378
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9812 205TH Ave E
Suite C
Bonney Lake, WA 98391-8382
Phone (253) 863-6378
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH60940276 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain View Chirorpactic PLLC | Chiropractor | Current | Accepting new patients |
| Stemp Family Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
Locations
9812 205th Ave E
Ste C
Bonney Lake, WA 98391
Phone (253) 863-6378
6915 Lakewood Dr W
Ste A2
University Place, WA 98467
Phone (253) 474-4226
Organizations & group practices 2
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.
-
- Chiropractor
- Bonney Lake, WA
- NPI 1245436476
-
- Chiropractor
- Tacoma, WA
- NPI 1548591696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1699339291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9812 205TH AVE E STE C",
"city": "BONNEY LAKE",
"state": "WA",
"postal_code": "983918275",
"telephone_number": "253-863-6378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9812 205TH AVE E STE C",
"city": "BONNEY LAKE",
"state": "WA",
"postal_code": "983918275",
"telephone_number": "253-863-6378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKAMURA",
"first_name": "KYLA",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-29",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60940276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bonney Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.