Active NPI
Anne L Reilly, DC
- Chiropractor
- Anacortes, WA
National Provider Identifier
1730128380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2503
- Practice address
- 1209 11TH St
Anacortes, WA 98221 - Phone
- (360) 293-6313
- Fax
- (360) 873-8769
- NPI assigned
- Jun 6, 2006
- Last updated
- Feb 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 2503 | WA | Primary |
| Chiropractor | 111N00000X | 1448 | SC | |
| Chiropractor | 111N00000X | CR836 | ME |
Addresses
Primary practice location
1209 11TH St
Anacortes, WA 98221
Mailing address
1209 11TH St
Anacortes, WA 98221
Phone (360) 293-6313
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20878 | Other | WA | UPIN |
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 |
|---|---|---|---|
| CR836 | ME | MD | Chiropractor |
| 1448 | SC | MD | Chiropractor |
| 2503 | WA | MD | Chiropractor |
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.
-
- Chiropractor
- Anacortes, WA
- NPI 1457472656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203379200000",
"number": "1730128380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1209 11TH ST",
"city": "ANACORTES",
"state": "WA",
"postal_code": "98221",
"telephone_number": "360-293-6313",
"fax_number": "360-873-8769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1209 11TH ST",
"city": "ANACORTES",
"state": "WA",
"postal_code": "98221",
"telephone_number": "360-293-6313",
"fax_number": "360-873-8769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REILLY",
"first_name": "ANNE",
"middle_name": "L",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2008-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "2503",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "1448",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ME",
"license": "CR836",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "20878",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anacortes, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.