Active NPI
Kathleen M. Drake, D.C.
- Chiropractor
- Federal Way, WA
National Provider Identifier
1881780328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00033821
- Practice address
- 33650 6TH Ave S
Suite 100
Federal Way, WA 98003-6754 - Phone
- (253) 942-3300
- Fax
- (253) 815-8805
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
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 | CH00033821 | WA | Primary |
Addresses
Primary practice location
33650 6TH Ave S
Suite 100
Federal Way, WA 98003-6754
Mailing address
33650 6TH Ave S
Suite 100
Federal Way, WA 98003-6754
Phone (253) 942-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0201158 | Other | WA | DEPT. OF L&I |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6402 E Superstition Springs Blvd
Suite 123
Mesa, AZ 85206-4391
Phone (480) 833-0302
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pentz Health Services LLC | Chiropractor | Current | Accepting new patients |
| Lake Meridian Chiropractic | Chiropractor | Past | Accepting new patients |
| Infinite Health & Wellness Centers PLLC | Chiropractor | Past | Accepting new patients |
| Starbright Tamarack | Chiropractor | Past | Accepting new patients |
Locations
6402 E Superstition Springs Blvd
Ste 123
Mesa, AZ 85206
Phone (480) 794-1061
Organizations & group practices 4
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.
-
- Sports Physician Chiropractor
- Mesa, AZ
- NPI 1184762890
-
- Chiropractor
- Kent, WA
- NPI 1376592915
-
- Chiropractor
- Seatac, WA
- NPI 1447652870
-
- Chiropractor
- Mesa, AZ
- NPI 1114206638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247011200000",
"number": "1881780328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33650 6TH AVE S",
"address_2": "SUITE 100",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036754",
"telephone_number": "253-942-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33650 6TH AVE S",
"address_2": "SUITE 100",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036754",
"telephone_number": "253-942-3300",
"fax_number": "253-815-8805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAKE",
"first_name": "KATHLEEN",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2009-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00033821",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF L&I",
"identifier": "0201158",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; 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.