Individual provider Active NPI

Courtney Rae Blanchfield, LMP

  • Chiropractor
  • East Wenatchee, WA
National Provider Identifier
1902137953
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
60116808 Issued in WA
Practice address
304 Grant Rd Ste 1
East Wenatchee, WA 98802-5384
Phone
(509) 884-4200
Fax
(509) 884-4201
NPI assigned
Jan 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 60116808 WA Primary

Addresses

Primary practice location

304 Grant Rd Ste 1
East Wenatchee, WA 98802-5384

Mailing address

304 Grant Rd Ste 1
East Wenatchee, WA 98802-5384
Phone (509) 884-4200

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60116808WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kolar Chiropractic LLC Chiropractor PastSince Oct 1, 2009 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1902137953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 GRANT RD STE 1",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988025384",
            "telephone_number": "509-884-4200",
            "fax_number": "509-884-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 GRANT RD STE 1",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988025384",
            "telephone_number": "509-884-4200",
            "fax_number": "509-884-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHFIELD",
        "first_name": "COURTNEY",
        "middle_name": "RAE",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "60116808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.