Active NPI
Loriann McKellar, D.C.
- Chiropractor
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00034673
- Practice address
- 12416 NW 36TH Ave
Vancouver, WA 98685-2225 - Phone
- (360) 574-9440
- Fax
- (360) 574-9288
- NPI assigned
- Oct 14, 2006
- Last updated
- Jan 4, 2024
- 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 | CH00034673 | WA | Primary |
Addresses
Primary practice location
12416 NW 36TH Ave
Vancouver, WA 98685-2225
Mailing address
12416 NW 36TH Ave
Vancouver, WA 98685-2225
Phone (360) 574-9440
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0225697 | Other | WA | L&I PAN |
| 703832 | Other | WA | ACN PROVIDER ID |
| 9478466 | Other | WA | MULTIPLAN (PHCS) ID |
| 8863691 | Other | WA | MEDICARE GROUP PIN |
| 885839001 | Other | WA | REGENCE BC/BS OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12416 NW 36TH Ave
Vancouver, WA 98685-2225
Phone (360) 574-9440
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00034673 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natural Choice Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Family Chiropractic at Salmon Creek Inc | Chiropractor | Past | Accepting new patients |
| Beacon Chiropractic Co | Chiropractor | Past | Accepting new patients |
Locations
12416 NW 36th Ave
Vancouver, WA 98685
Phone (360) 574-9440
14313 NE 20th Ave
Ste A112
Vancouver, WA 98686
Phone (360) 574-9440
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704326400000",
"number": "1912097361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12416 NW 36TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986852225",
"telephone_number": "360-574-9440",
"fax_number": "360-574-9288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12416 NW 36TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986852225",
"telephone_number": "360-574-9440",
"fax_number": "360-574-9288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKELLAR",
"first_name": "LORIANN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-14",
"last_updated": "2024-01-04",
"certification_date": "2023-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00034673",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I PAN",
"identifier": "0225697",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN PROVIDER ID",
"identifier": "703832",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN (PHCS) ID",
"identifier": "9478466",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PIN",
"identifier": "8863691",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BC/BS OR",
"identifier": "885839001",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.