Organization Active NPI

Barrett Family Chiropractic

  • Chiropractor
  • Liberty Lake, WA
National Provider Identifier
1922473982
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00033940 Issued in WA
Legal business name
BARRETT FAMILY CHIROPRACTIC
Practice address
21651 E Country Vista Dr
Suite F
Liberty Lake, WA 99019-7708
Phone
(509) 319-2310
NPI assigned
Dec 2, 2015
Last updated
Dec 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Authorized official

Name
Susan Barrett-Naccarato, DC
Title
Owner
Phone
(509) 863-5720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00033940 WA Primary

Addresses

Primary practice location

21651 E Country Vista Dr
Suite F
Liberty Lake, WA 99019-7708

Mailing address

21651 E Country Vista Dr
Suite F
Liberty Lake, WA 99019-7708
Phone (509) 319-2310

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151208003017 WA Part B Supplier - Clinic/Group Practice 4284935685 Receives reassigned benefits from 2 practitioners
Practice locations: Liberty Lake, WA

National Provider Directory

National Provider Directory

Locations

21651 E Country Vista Dr
Ste F
Liberty Lake, WA 99019
Phone (509) 319-2310

Practitioners & affiliated clinicians

Practitioners 5

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": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1922473982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21651 E COUNTRY VISTA DR",
            "address_2": "SUITE F",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990197708",
            "telephone_number": "509-319-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21651 E COUNTRY VISTA DR",
            "address_2": "SUITE F",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990197708",
            "telephone_number": "509-319-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRETT FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "BARRETT-NACCARATO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-863-5720",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00033940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.