Individual provider Active NPI

Kayleen Moore, DC

  • Chiropractor
  • Mill Creek, WA
National Provider Identifier
1982591400
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61682660 Issued in WA
Practice address
16030 Bothell Everett Hwy Ste 105
Mill Creek, WA 98012-0014
Phone
(425) 742-5400
NPI assigned
Jun 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61682660 WA Primary

Addresses

Primary practice location

16030 Bothell Everett Hwy Ste 105
Mill Creek, WA 98012-0014

Mailing address

16030 Bothell Everett Hwy Ste 105
Mill Creek, WA 98012-0014

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

State licenses

LicenseStateTypeSpecialty
CH61682660WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ac Eyecare, Inc. CurrentSince Jun 23, 2025 Accepting new patients

Locations

16030 Bothell Everett Hwy
Ste 105
Mill Creek, WA 98012
Phone (425) 379-9080

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1982591400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16030 BOTHELL EVERETT HWY STE 105",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980120014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16030 BOTHELL EVERETT HWY STE 105",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980120014",
            "telephone_number": "425-742-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KAYLEEN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61682660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Creek, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.