Organization Active NPI

Bourree Services P S

  • Chiropractor
  • Kirkland, WA
National Provider Identifier
1992922140
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BOURREE SERVICES P S
Practice address
12841 NE 85TH St
Kirkland, WA 98033-8009
Phone
(425) 827-0334
Fax
(425) 284-6884
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Authorized official

Name
Adrienne Robinson
Title
Billing/Credentialing
Phone
(425) 891-4950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

12841 NE 85TH St
Kirkland, WA 98033-8009

Mailing address

12841 NE 85TH St
Kirkland, WA 98033-8009
Phone (425) 827-0334

Other names 2

  • Bourree Chiropractic Doing business as
  • Bourree Chiropractic and Massage Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040329000405 WA Part B Supplier - Clinic/Group Practice 5092607523 Receives reassigned benefits from 1 practitioner
Practice locations: Kirkland, WA

National Provider Directory

National Provider Directory
Tax ID family
Bourree Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

433 State St Ste 6
Kirkland, WA 98033
Phone (425) 827-0334

12628 NE 85 St
Kirkland, WA 98033
Phone (425) 827-0334

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1992922140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12841 NE 85TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338009",
            "telephone_number": "425-827-0334",
            "fax_number": "425-284-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12841 NE 85TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338009",
            "telephone_number": "425-827-0334",
            "fax_number": "425-284-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOURREE SERVICES P S",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING",
        "authorized_official_telephone_number": "425-891-4950"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bourree Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bourree Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bourree Chiropractic and Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.