Individual provider Active NPI

Adrienne C Keyser, DC

  • Chiropractor
  • Bellevue, WA
National Provider Identifier
1992748040
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003272 Issued in WA
Practice address
1140 140TH Ave NE Ste a
Bellevue, WA 98005-2975
Phone
(425) 957-0761
Fax
(425) 957-1156
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00003272 WA Primary

Addresses

Primary practice location

1140 140TH Ave NE Ste a
Bellevue, WA 98005-2975

Mailing address

1140 140TH Ave NE Ste a
Bellevue, WA 98005-2975
Phone (425) 957-0761

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00003272WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bourree Services PS Chiropractor Current Accepting new patients
Bourree Services P S Chiropractor Current Accepting new patients
Bellevue Center for Health Chiropractor Past Accepting new patients

Organizations & group practices 3

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1992748040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 140TH AVE NE STE A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052975",
            "telephone_number": "425-957-0761",
            "fax_number": "425-957-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 140TH AVE NE STE A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052975",
            "telephone_number": "425-957-0761",
            "fax_number": "425-957-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYSER",
        "first_name": "ADRIENNE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.