Individual provider Active NPI

Rosalind Elizabeth Placke, D.C.

  • Chiropractor
  • Seatac, WA
National Provider Identifier
1841562162
Registry record updated Sep 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60264847 Issued in WA
Practice address
16704 International Blvd
Seatac, WA 98188-3116
Phone
(206) 246-8830
NPI assigned
Feb 1, 2012
Last updated
Sep 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60264847 WA Primary

Addresses

Primary practice location

16704 International Blvd
Seatac, WA 98188-3116

Mailing address

21802 Sweeney Rd SE
Maple Valley, WA 98038-6415
Phone (563) 579-9918

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120522001001 WA Practitioner - Chiropractic 7113180571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Starbright TamarackGroup PAC ID 7012138233, 2 clinicians

Practice addresses (Care Compare)

16704 International Blvd
Seatac, WA 98188-3116
Phone (206) 246-8830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Starbright Tamarack Chiropractor CurrentSince Sep 16, 2013 Accepting new patients
Drake Chiropractic PLLC Chiropractor Past Accepting new patients

Locations

500 S 336th St
Ste 110
Federal Way, WA 98003
Phone (253) 874-0250

16704 International Blvd
Seatac, WA 98188
Phone (206) 246-8830

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": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410480000000",
    "number": "1841562162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21802 SWEENEY RD SE",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980386415",
            "telephone_number": "563-579-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16704 INTERNATIONAL BLVD",
            "city": "SEATAC",
            "state": "WA",
            "postal_code": "981883116",
            "telephone_number": "206-246-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLACKE",
        "first_name": "ROSALIND",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-01",
        "last_updated": "2014-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60264847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seatac, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; 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.