Kayla Pruitt, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

61268549 Issued in WA

Practice address

15418 Main St Unit M106
Mill Creek, WA 98012-9021

Phone

(425) 742-6035

NPI assigned

Jan 27, 2023

Last updated

Sep 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mill Creek Wellness Center, PS

  dba Mill Creek Wellness Center

  • Chiropractor
  • Mill Creek, WA
  • NPI 1336267194
  Medicare reassignment NPD

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1992411433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15418 MAIN ST UNIT M106",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980129021",
            "telephone_number": "425-742-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15418 MAIN ST UNIT M106",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980129021",
            "telephone_number": "425-742-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "KAYLA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-27",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "61268549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew G Price, MD
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• Proliance Surgeons, Inc., P.S. (Proliance Physical & Hand Therapy)
• Providence Health & Services- Washington (PMG NW WA Mill Creek Commons)
• Ann Marie Pryich, M.S.W.
• Puget Sound Gastroenterology, PLLC
• Breeanna R Pumper, PT
• Purity Integrative Health & Wellness Center, PLLC
• Purity Integrative Health & Wellness Center, PLLC

• Chiropractor in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.