Active NPI
Kierra Mielle Smith
- Chiropractor
- Shoreline, WA
National Provider Identifier
1780206243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH61116941
- Practice address
- 20126 Ballinger Way NE # 339
Shoreline, WA 98155-1117 - Phone
- (206) 920-9473
- NPI assigned
- May 7, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH61116941 | WA | Primary |
Addresses
Primary practice location
20126 Ballinger Way NE # 339
Shoreline, WA 98155-1117
Mailing address
20126 Ballinger Way NE # 339
Shoreline, WA 98155-1117
Phone (206) 920-9473
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17416 Sr
9 Suite B
Snohomish, WA 98296-6304
Phone (360) 668-2000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clearview Wellness Center, PLLC | Chiropractor | Current | Accepting new patients |
| Lake Union Wellness, PS | Chiropractor | Past | Accepting new patients |
| Lieberman Family Chiropractic | Chiropractor | Past | Accepting new patients |
Locations
17416 State Route 9 SE
Ste B
Snohomish, WA 98296
Phone (360) 668-2000
Organizations & group practices 3
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.
-
- Chiropractor
- Snohomish, WA
- NPI 1174873962
-
- Chiropractor
- Seattle, WA
- NPI 1639647654
-
- Chiropractor
- Rome, GA
- NPI 1750098232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748304000000",
"number": "1780206243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20126 BALLINGER WAY NE # 339",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981551117",
"telephone_number": "206-920-9473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20126 BALLINGER WAY NE # 339",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981551117",
"telephone_number": "206-920-9473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KIERRA",
"middle_name": "MIELLE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-07",
"last_updated": "2025-05-27",
"certification_date": "2025-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH61116941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shoreline, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.