Active NPI
Michelle Gray Marconi, D.C.
- Chiropractor
- Tacoma, WA
National Provider Identifier
1871500322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00034645
- Practice address
- 4537 So. Yakima Ave
Tacoma, WA 98418 - Phone
- (253) 475-3334
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00034645 | WA | Primary |
Addresses
Primary practice location
4537 So. Yakima Ave
Tacoma, WA 98418
Mailing address
18420 123Rd St E
Bonney Lake, WA 98391-8117
Phone (253) 475-3334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Still Well Chiropractic Clinic Inc | Chiropractor | Past | Accepting new patients |
| Brent Finnigan LMP | Past | Accepting new patients |
Interoperability endpoints
- marconichiropractic.michellemarconi@158410.advancedmd-direct.com
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Tacoma, WA
- NPI 1093161226
-
- Chiropractor
- Tacoma, WA
- NPI 1104961093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871500322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18420 123RD ST E",
"city": "BONNEY LAKE",
"state": "WA",
"postal_code": "983918117",
"telephone_number": "253-475-3334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4537 SO. YAKIMA AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "98418",
"telephone_number": "253-475-3334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCONI",
"first_name": "MICHELLE",
"middle_name": "GRAY",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00034645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.