Individual provider Active NPI

Suzy J Firth, LMP

  • Chiropractor
  • Lakewood, WA
National Provider Identifier
1912045824
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
91-1550534 Issued in WA
Practice address
8905 Gravelly Lake Dr SW
Chittenden Chiropractic
Lakewood, WA 98499-3109
Phone
(253) 581-1533
Fax
(253) 588-2145
NPI assigned
Feb 2, 2007
Last updated
May 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 91-1550534 WA Primary

Addresses

Primary practice location

8905 Gravelly Lake Dr SW
Chittenden Chiropractic
Lakewood, WA 98499-3109

Mailing address

8905 Gravelly Lake Blvd SW
Chittenden Chiropractic
Lakewood, WA 98499-2010
Phone (253) 581-1533

Other identifiers 1

IdentifierTypeStateIssuer
91-1550534OtherWASTEPHEN CHITTENDEN

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dennis C. Sweet, D.C., P.S. Chiropractor Past Accepting new patients
Chittenden Chiropractic PS Chiropractor PastSince Mar 16, 2011 Accepting new patients

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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336521600000",
    "number": "1912045824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8905 GRAVELLY LAKE BLVD SW",
            "address_2": "CHITTENDEN CHIROPRACTIC",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992010",
            "telephone_number": "253-581-1533",
            "fax_number": "253-588-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8905 GRAVELLY LAKE DR SW",
            "address_2": "CHITTENDEN CHIROPRACTIC",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993109",
            "telephone_number": "253-581-1533",
            "fax_number": "253-588-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIRTH",
        "first_name": "SUZY",
        "middle_name": "J",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2012-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "91-1550534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STEPHEN CHITTENDEN",
            "identifier": "91-1550534",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.