Individual provider Active NPI

Elizabeth Jane Faletti, D.C.

  • Chiropractor
  • Kennewick, WA
National Provider Identifier
1710019344
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3381 Issued in WA
Practice address
1409 N Pittsburgh St Ste B
Kennewick, WA 99336-8213
Phone
(509) 736-3348
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3381 WA Primary

Addresses

Primary practice location

1409 N Pittsburgh St Ste B
Kennewick, WA 99336-8213

Mailing address

1409 N Pittsburgh St Ste B
Kennewick, WA 99336-8213
Phone (509) 736-3348

Other identifiers 2

IdentifierTypeStateIssuer
116161OtherWADEPT. OF L&I PROVIDER NUM
8928723OtherWACRIME VICTIMS ID #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060303000055 WA Practitioner - Chiropractic 2961418744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1305 Fowler St
Suite 1C
Richland, WA 99352-4719
Phone (509) 736-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3381WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Liz Faletti Chiropractor PLLC Chiropractor CurrentSince Aug 1, 2013 Accepting new patients

Locations

1409 N Pittsburg St
Ste B
Kennewick, WA 99336
Phone (509) 736-3348

1731 W Clark St
Pasco, WA 99301
Phone (509) 547-7911

1305 Fowler St
Ste 1C
Richland, WA 99352
Phone (509) 783-2004

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": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1710019344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 N PITTSBURGH ST STE B",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368213",
            "telephone_number": "509-736-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 N PITTSBURGH ST STE B",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368213",
            "telephone_number": "509-736-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALETTI",
        "first_name": "ELIZABETH",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "3381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF L&I PROVIDER NUM",
            "identifier": "116161",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS ID #",
            "identifier": "8928723",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.