Organization Active NPI

CMR Chiropractic, PLLC

  • Chiropractor
  • Mukilteo, WA
National Provider Identifier
1770019333
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60691551 Issued in WA
Legal business name
CMR CHIROPRACTIC, PLLC
Practice address
11811 Mukilteo Speedway Ste 105
Mukilteo, WA 98275-5442
Phone
(901) 326-8813
NPI assigned
May 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Randi Pickett, DCNPI 1154869113
Title
Chiropractor/Owner
Phone
(901) 326-8813

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH60691551 WA Primary

Addresses

Primary practice location

11811 Mukilteo Speedway Ste 105
Mukilteo, WA 98275-5442

Mailing address

11811 Mukilteo Speedway Ste 105
Mukilteo, WA 98275-5442
Phone (901) 326-8813

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170712002862 WA Part B Supplier - Clinic/Group Practice 1951670553 Receives reassigned benefits from 1 practitioner
Practice locations: Mukilteo, WA

National Provider Directory

National Provider Directory

Locations

11811 Mukilteo Speedway
Ste 105
Mukilteo, WA 98275
Phone (425) 348-3400

14001 Meridian E
Puyallup, WA 98373
Phone (253) 381-6700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1770019333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11811 MUKILTEO SPEEDWAY STE 105",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982755442",
            "telephone_number": "901-326-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11811 MUKILTEO SPEEDWAY STE 105",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982755442",
            "telephone_number": "901-326-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMR CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PICKETT",
        "authorized_official_first_name": "RANDI",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "901-326-8813",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60691551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mukilteo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.