Individual provider Active NPI

Cambry Emily Rattay, DC

  • Chiropractor
  • Monroe, WA
National Provider Identifier
1922765130
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61221789 Issued in WA
Practice address
14090 Fryelands Blvd SE Ste 274
Monroe, WA 98272-2693
Phone
(360) 806-0122
Fax
(425) 487-6818
NPI assigned
Nov 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61221789 WA Primary

Addresses

Primary practice location

14090 Fryelands Blvd SE Ste 274
Monroe, WA 98272-2693

Mailing address

18920 Bothell Way NE Ste 100
Bothell, WA 98011-1981

Other practice location 1

18920 Bothell Way NE Ste 100
Bothell, WA 98011-1981
Phone (425) 486-1122

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL SOAP Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211217000451 WA Practitioner - Chiropractic 1052702594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kaufman Chiropractic Clinic IncGroup PAC ID 0244143105, 8 clinicians

Practice addresses (Care Compare)

14090 Fryelands Blvd SE
Suite 274
Monroe, WA 98272-2693
Phone (425) 486-1122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH61221789WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kaufman Chiropractic Clinic Inc Chiropractor CurrentSince Dec 10, 2021 Accepting new patients
Bothell Regenerative Medicine PastSince Nov 28, 2021 Accepting new patients

Locations

18920 Bothell Way NE
Ste 100
Bothell, WA 98011
Phone (425) 486-1122

14090 Fryelands Blvd SE
Ste 274
Monroe, WA 98272
Phone (360) 805-0112

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": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1922765130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18920 BOTHELL WAY NE STE 100",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980111981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14090 FRYELANDS BLVD SE STE 274",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982722693",
            "telephone_number": "360-806-0122",
            "fax_number": "425-487-6818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18920 Bothell Way NE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bothell",
            "state": "WA",
            "postal_code": "980111981",
            "country_code": "US",
            "telephone_number": "425-486-1122",
            "fax_number": "425-487-6818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RATTAY",
        "first_name": "CAMBRY",
        "middle_name": "EMILY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61221789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "SOAP",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "SOAP",
            "address_1": "18920 Bothell Way NE Ste 100",
            "city": "Bothell",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980111981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.

Verify at the official NPI Registry.