Individual provider Active NPI

Michelle Christine Flynn, LMP

  • Chiropractor
  • Lake Stevens, WA
National Provider Identifier
1760729040
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MA60105248 Issued in WA
Practice address
9633 Market PL Unit 103
Lake Stevens, WA 98258-7944
Phone
(425) 335-0300
Fax
(425) 335-0302
NPI assigned
Jan 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MA60105248 WA Primary

Addresses

Primary practice location

9633 Market PL Unit 103
Lake Stevens, WA 98258-7944

Mailing address

9633 Market PL Unit 103
Lake Stevens, WA 98258-7944
Phone (425) 335-0300

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA60105248WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Walsh Chiropractic PLLC PastSince Oct 2, 2022 Accepting new patients
Market Place Chiropractic Wellness Center Chiropractor PastSince Mar 29, 2009 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1760729040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9633 MARKET PL UNIT 103",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982587944",
            "telephone_number": "425-335-0300",
            "fax_number": "425-335-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9633 MARKET PL UNIT 103",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982587944",
            "telephone_number": "425-335-0300",
            "fax_number": "425-335-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "MICHELLE",
        "middle_name": "CHRISTINE",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "MA60105248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Stevens, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.