Individual provider Active NPI

Meagan Jean Spitler, LMP

  • Specialist
  • Mount Vernon, WA
National Provider Identifier
1770919185
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA60376625 Issued in WA
Practice address
1600 Roosevelt Ave Ste a
Mount Vernon, WA 98273-2646
Phone
(306) 428-0304
Fax
(360) 428-0968
NPI assigned
Sep 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA60376625 WA Primary
Specialist 174400000X 11397 HI

Addresses

Primary practice location

1600 Roosevelt Ave Ste a
Mount Vernon, WA 98273-2646

Mailing address

1600 Roosevelt Ave Ste a
Mount Vernon, WA 98273-2646
Phone (306) 428-0304

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
11397HIMDSpecialist
MA60376625WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Vernon Chiropractic, Inc., P.S. PastSince Oct 1, 2004 Accepting new patients

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": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1770919185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 ROOSEVELT AVE STE A",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732646",
            "telephone_number": "306-428-0304",
            "fax_number": "360-428-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ROOSEVELT AVE STE A",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732646",
            "telephone_number": "306-428-0304",
            "fax_number": "360-428-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITLER",
        "first_name": "MEAGAN",
        "middle_name": "JEAN",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA60376625",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "11397",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.