Organization Active NPI

Skamania Chiropractic and Rehabilitation PLLC

  • Chiropractor
  • Stevenson, WA
National Provider Identifier
1891059598
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
60264407 Issued in WA
Legal business name
SKAMANIA CHIROPRACTIC AND REHABILITATION PLLC
Practice address
138 NW 2ND St
Stevenson, WA 98648-4225
Phone
(509) 427-3600
Fax
(509) 427-3601
NPI assigned
Jun 27, 2012
Last updated
Jul 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Authorized official

Name
Dr. Mitzi Beth Ferrill, D.C.NPI 1518226117
Title
Chiropractor
Phone
(509) 427-3600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 60264407 WA Primary

Addresses

Primary practice location

138 NW 2ND St
Stevenson, WA 98648-4225

Mailing address

PO Box 1498
Stevenson, WA 98648-1498
Phone (509) 427-3600

Other identifiers 1

IdentifierTypeStateIssuer
1891059598OtherWANPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120910000629 WA Part B Supplier - Clinic/Group Practice 3476701806 Receives reassigned benefits from 2 practitioners
Practice locations: Stevenson, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564444800000",
    "number": "1891059598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1498",
            "city": "STEVENSON",
            "state": "WA",
            "postal_code": "986481498",
            "telephone_number": "509-427-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 NW 2ND ST",
            "city": "STEVENSON",
            "state": "WA",
            "postal_code": "986484225",
            "telephone_number": "509-427-3600",
            "fax_number": "509-427-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKAMANIA CHIROPRACTIC AND REHABILITATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-27",
        "last_updated": "2019-07-30",
        "status": "A",
        "authorized_official_last_name": "FERRILL",
        "authorized_official_first_name": "MITZI",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "509-427-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "60264407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1891059598",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevenson, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.