Individual provider Active NPI

Kayla Michelle Anthony, CH61608031

  • Occupational Health Chiropractor
  • Spanaway, WA
National Provider Identifier
1790512432
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health ChiropractorTaxonomy code 111NX0100X
License
CH61608031 Issued in WA
Practice address
18407 Pacific Ave S Ste 11
Spanaway, WA 98387-8375
Phone
(253) 847-6000
NPI assigned
Sep 17, 2024
Last updated
Mar 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Chiropractor 111NX0100X CH61608031 WA Primary

Addresses

Primary practice location

18407 Pacific Ave S Ste 11
Spanaway, WA 98387-8375

Mailing address

18407 Pacific Ave S Ste 11
Spanaway, WA 98387-8375
Phone (253) 847-6000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241230000281 WA Practitioner - Chiropractic 6103353339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH61608031WAMDOccupational Health Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
CWC Group, PS CurrentSince Nov 1, 2024 Accepting new patients
Rainier Health Services Inc. Past Accepting new patients

Locations

12811 SE 38th St
Bellevue, WA 98006
Phone (425) 378-1800

2317 SW 320th St
Ste 3
Federal Way, WA 98023
Phone (206) 290-4443

9701 South Tacoma Way
Ste 106
Lakewood, WA 98499
Phone (253) 588-8340

1707 3rd St SE
Puyallup, WA 98372
Phone (253) 200-2355

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1790512432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18407 PACIFIC AVE S STE 11",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983878375",
            "telephone_number": "253-847-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18407 PACIFIC AVE S STE 11",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983878375",
            "telephone_number": "253-847-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "KAYLA",
        "middle_name": "MICHELLE",
        "credential": "CH61608031",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "WA",
            "license": "CH61608031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanaway, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.