Individual provider Active NPI

Nichole R Seepersad, DC

  • Chiropractor
  • Redmond, WA
National Provider Identifier
1871641977
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034682 Issued in WA
Practice address
17530 NE Union Hill Rd
Suite 270
Redmond, WA 98052-3387
Phone
(425) 558-1266
Fax
(425) 558-9549
NPI assigned
Jan 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034682 WA Primary

Addresses

Primary practice location

17530 NE Union Hill Rd
Suite 270
Redmond, WA 98052-3387

Mailing address

1623 45TH Ave SW
Seattle, WA 98116-1625
Phone (510) 415-8801

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070417000598 WA Practitioner - Chiropractic 1951405752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Swanson and Seepersad Chiropractic PSGroup PAC ID 0840334611, 2 clinicians

Practice addresses (Care Compare)

3703 California Ave SW
Suite a
Seattle, WA 98116-3777
Phone (206) 937-3965

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Swanson & Seepersad Chiropractic, P.S. Chiropractor CurrentSince Nov 22, 2009 Accepting new patients
Hanson Chiropractic Inc., P.S. Chiropractor PastSince Jan 1, 1998 Accepting new patients

Locations

3703 California Ave SW
Ste A
Seattle, WA 98116
Phone (206) 937-3965

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871641977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 45TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981161625",
            "telephone_number": "510-415-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17530 NE UNION HILL RD",
            "address_2": "SUITE 270",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523387",
            "telephone_number": "425-558-1266",
            "fax_number": "425-558-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEEPERSAD",
        "first_name": "NICHOLE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, 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.
  • 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.