Lori Delight Johnson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00001908 Issued in WA

Practice address

1420 Roosevelt Ave Ste 7
Mount Vernon, WA 98273-2687

Phone

(360) 941-0505

Fax

(360) 399-7484

NPI assigned

Jun 24, 2005

Reactivated

Mar 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Chiropractic and Wellness PLLCGroup PAC ID 8729307152, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Valley Chiropractic and Wellness, PLLC

  • Chiropractor
  • Mount Vernon, WA
  • NPI 1487045332
  Medicare reassignment Care Compare group NPD Authorized official
• New Spine

  • Medical Specialty Clinic/Center
  • Mount Vernon, WA
  • NPI 1568906030
  NPD
• Cook Chiropractic, PLLC

  • Chiropractor
  • Sedro Woolley, WA
  • NPI 1790114791
  NPD (past)

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1841296803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 RIVERSIDE DR",
            "address_2": "STE 105",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735454",
            "telephone_number": "360-424-6104",
            "fax_number": "360-424-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 ROOSEVELT AVE STE 7",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732687",
            "telephone_number": "360-941-0505",
            "fax_number": "360-399-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LORI",
        "middle_name": "DELIGHT",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-24",
        "last_updated": "2022-07-21",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "70773",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "08945",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coleen Elizabeth Johnson, MSW, LICSW, CMHS
• Debbie Ann Johnson, M.ED LMHC
• Denise Dianne Johnson, RPH
• Eric R Johnson, M.S.
• Gary K Johnson, M.D.
• Mark L. Johnson, MD
• Norman Lee Johnson, M.S.
• Sidney Yorke Johnson, SUDPT
• Steven H Johnson, M.D.
• William R Johnson, LICSW

• Chiropractor in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.