Wellness for Life Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034506 Issued in WA

Legal business name

WELLNESS FOR LIFE CHIROPRACTIC, INC.

Practice address

6204 8TH Ave NW
Seattle, WA 98107-2270

Phone

(206) 784-3494

Fax

(206) 789-2088

NPI assigned

Feb 12, 2008

Organization subpart

Yes

Parent organization

BALLARD BACK PAIN RELIEF CLINIC, LLCAs reported in NPPES

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

Authorized official

Name

Dr. David Hunter Hoats, D.C.

Title

President

Phone

(206) 784-3494

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Ballard Back Pain Relief Clinic, LLC Other name

Part of

Ballard Back Pain Relief Clinic LLC

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mia Joy Brown, LMP

  • Specialist
  • Seattle, WA
  • NPI 1912192873
  NPD (past)
• Megan A Johnson, LMP

  • Specialist
  • Seattle, WA
  • NPI 1972773836
  NPD (past)
• Noel Anne Johnson, LMP

  • Specialist
  • Seattle, WA
  • NPI 1124266051
  NPD (past)
• Danielle M Nash, LMP

  • Specialist
  • Seattle, WA
  • NPI 1184945271
  NPD (past)
• William Joseph O'Donnell Jr., D.C.

  • Chiropractor
  • Corvallis, OR
  • NPI 1659601177
  NPD (past)

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1841468899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6204 8TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981072270",
            "telephone_number": "206-784-3494",
            "fax_number": "206-789-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6204 8TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981072270",
            "telephone_number": "206-784-3494",
            "fax_number": "206-789-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS FOR LIFE CHIROPRACTIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BALLARD BACK PAIN RELIEF CLINIC, LLC",
        "enumeration_date": "2008-02-12",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "HOATS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "HUNTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-784-3494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "713398",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR & IND",
            "identifier": "0227750",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR AND INDUSTRIES",
            "identifier": "0309134",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "681270",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ballard Back Pain Relief Clinic, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jay Wellington, MSW
• Nancy Collette Welliver, ND
• Brandee Wellman
• Jodi Wellman, LMHC
• Wellness by Design PLLC
• Wellness Home LLC
• Wellness Lab
• Wellness Life Acupuncture
• Wellness Occupational Therapy LLC
• Wellnite Medical Group PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.