Connie Amundson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00001774 Issued in WA

Practice address

12000 15TH Ave NE
Suite C
Seattle, WA 98125-5083

Phone

(206) 409-9447

Fax

(360) 297-0420

NPI assigned

May 19, 2006

Last updated

May 27, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Ki Chiropractic, PLLC

  • Chiropractor
  • Seattle, WA
  • NPI 1306164439
  Medicare reassignment Authorized official
• Stemwave Northwest PLLC

  dba Lifetime Wellness Center NW

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Seattle, WA
  • NPI 1649985466
  Authorized official Same address or phone
• Fox Chiropractic Inc.

  • Health Service Clinic/Center
  • Seattle, WA
  • NPI 1336349711
  NPD (past)
• Fox Chiropractic PS

  • Health Service Clinic/Center
  • Seattle, WA
  • NPI 1356651616
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1720031545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 NE 105TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257909",
            "telephone_number": "206-409-9447",
            "fax_number": "206-363-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 15TH AVE NE",
            "address_2": "SUITE C",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981255083",
            "telephone_number": "206-409-9447",
            "fax_number": "360-297-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMUNDSON",
        "first_name": "CONNIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amrit K. Burn, DDS, MSD, PLLC
• Osama Amro, MD., MS
• Mirutse Teklu Amssalu
• Hagay Amster Kahn, MD
• Amt Psychology PLLC
• Everett Alan Amundson
• Kimberly Lynn Amundson, MSPH, RD
• Vivian Ivy Amundson, LIACSW
• An Evolution in Chiropractic
• Anh An

• Chiropractor in Seattle, WA
• Providers in Seattle, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.