Individual provider Active NPI

Kelli K Pearson, DC

  • Chiropractor
  • Spokane Valley, WA
National Provider Identifier
1790793677
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00001827 Issued in WA
Practice address
1410 North Mullan
Ste 200
Spokane Valley, WA 99206
Phone
(509) 927-8997
Fax
(509) 927-3919
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00001827 WA Primary

Addresses

Primary practice location

1410 North Mullan
Ste 200
Spokane Valley, WA 99206

Mailing address

1410 North Mullan
Ste 200
Spokane Valley, WA 99206
Phone (509) 927-8997

Other names 1

  • Kelli K Pearson-Weary Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040422000056 WA Practitioner - Chiropractic 5395731731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1982
Medicare assignment
May accept Medicare assignment
Group practices
Pearson and Weary Pain Relief Clinics PCGroup PAC ID 6305832742, 4 clinicians

Practice addresses (Care Compare)

16201 E Indiana Ave
Suite 1111
Spokane Valley, WA 99216-2830
Phone (509) 927-8997

16201 E Indiana Ave
Suite 1111
Spokane Valley, WA 99216-2838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pearson and Weary Pain Relief Clinics P.C. Chiropractor CurrentSince Jan 1, 2004 Accepting new patients

Locations

16201 E Indiana Ave
Ste 1111
Spokane Valley, WA 99216
Phone (509) 927-8997

1410 N Mullan Rd
Ste 200
Spokane Valley, WA 99206
Phone (509) 838-1188

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1790793677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 NORTH MULLAN",
            "address_2": "STE 200",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "99206",
            "telephone_number": "509-927-8997",
            "fax_number": "509-927-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 NORTH MULLAN",
            "address_2": "STE 200",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "99206",
            "telephone_number": "509-927-8997",
            "fax_number": "509-927-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "KELLI",
        "middle_name": "K",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "PEARSON-WEARY",
            "middle_name": "K",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.

Verify at the official NPI Registry.