Individual provider Active NPI

Korrin Beals, L.M.T, L.M.P

  • Independent Medical Examiner Chiropractor
  • Seattle, WA
National Provider Identifier
1790182517
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
License
MA60483443 Issued in WA
Practice address
3933 Stone Way N
Seattle, WA 98103-8017
Phone
(206) 588-0014
Fax
(206) 577-3599
NPI assigned
Nov 21, 2014
Last updated
Nov 21, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner Chiropractor 111NI0013X MA60483443 WA Primary

Addresses

Primary practice location

3933 Stone Way N
Seattle, WA 98103-8017

Mailing address

3933 Stone Way N
Seattle, WA 98103-8017
Phone (206) 588-0014

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
MA60483443WAMDIndependent Medical Examiner Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416528000000",
    "number": "1790182517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3933 STONE WAY N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038017",
            "telephone_number": "206-588-0014",
            "fax_number": "206-577-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3933 STONE WAY N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038017",
            "telephone_number": "206-588-0014",
            "fax_number": "206-577-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEALS",
        "first_name": "KORRIN",
        "credential": "L.M.T, L.M.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "WA",
            "license": "MA60483443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.