Individual provider Active NPI

Jamie Bouchey, DC

  • Chiropractor
  • Spokane, WA
National Provider Identifier
1982091377
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 60552615 Issued in WA
Practice address
11909 N Division St Ste 103
Spokane, WA 99218-1903
Phone
(509) 465-8400
NPI assigned
Apr 23, 2015
Last updated
Apr 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 60552615 WA Primary

Addresses

Primary practice location

11909 N Division St Ste 103
Spokane, WA 99218-1903

Mailing address

11909 N Division St Ste 103
Spokane, WA 99218-1903
Phone (509) 999-4552

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150522000745 WA Practitioner - Chiropractic 8820318454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Brian Mather PCGroup PAC ID 8022073568, 5 clinicians

Practice addresses (Care Compare)

11909 N Division St
Suite 103
Spokane, WA 99218-1903
Phone (509) 465-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brian Mather, PC CurrentSince Mar 10, 2024 Accepting new patients

Locations

11909 N Division St
Ste 103
Spokane, WA 99218
Phone (509) 465-8400

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, 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": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1982091377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11909 N DIVISION ST STE 103",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181903",
            "telephone_number": "509-999-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11909 N DIVISION ST STE 103",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181903",
            "telephone_number": "509-465-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHEY",
        "first_name": "JAMIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH 60552615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.

Verify at the official NPI Registry.