Paulina Noelle Kaminski, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH61520070 Issued in WA

Practice address

19121 112TH Ave NE Apt 417
Bothell, WA 98011-0032

Phone

(425) 446-0927

NPI assigned

Mar 11, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Portland Specific Chiropractic, LLC

  • Chiropractor
  • Portland, OR
  • NPI 1386483600
  NPD (past)

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1831957372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19122 BEARDSLEE BLVD # 105",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980110200",
            "telephone_number": "425-381-4460",
            "fax_number": "425-381-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19121 112TH AVE NE APT 417",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980110032",
            "telephone_number": "425-446-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMINSKI",
        "first_name": "PAULINA",
        "middle_name": "NOELLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61520070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Kaeter
• Kaiser Foundation Health Plan of Washington
• Kaiser Foundation Health Plan of Washington
• Wai Kwan Kam
• Cassandra Dawn Kaminski, LMP
• Rebecca Lynn Kamradt
• Monica Sanghee Kang-Ahn, MEDICAL INTERPRETER
• Payal Kansal, LMHCA
• Chinsinsi Martha Kapata
• Laura Nicole Karaica, DMD

• Chiropractor in Bothell, WA
• Providers in Bothell, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.