FAUNTLEROY CHIROPRACTIC, P.S. (NPI# 1225320096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225320096 |
| Entity Type | Organization |
| Organization Name | FAUNTLEROY CHIROPRACTIC, P.S. |
| Practice Address |
4520 Fauntleroy Way Sw Seattle WA 98126-2740 |
| Practice Telephone | 2069326605 |
| Practice Fax Number | 2069336999 |
| Mailing Telephone | 2069326605 |
| Mailing Fax Number | 2069336999 |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2011-05-11 |
| Authorized Official Name | DR. BRYAN SCOTT WIEBE (OWNER/CHIROPRACTOR) |
| Authorized Official Telephone | 2069326605 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH3113 | WA | Chiropractic Providers |
| Street Address |
4520 FAUNTLEROY WAY SW |
| City | SEATTLE |
| State | WA |
| Zip Code | 98126-2740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487719597 | Medea Reverelly Karr | Nurse Practitioner | 4520 Fauntleroy Way Sw, Seattle, WA 98126-2740 | 2006-12-27 |
| 1457841975 | Laura Michelle Cain | Nurse Practitioner | 4520 Fauntleroy Way Sw, Seattle, WA 98126 | 2018-05-10 |
| 1114469855 | Willow Fibromyalgia and Hypermobility Clinic Pllc | Nurse Practitioner | 4520 Fauntleroy Way Sw, Seattle, WA 98126-2740 | 2016-11-11 |
| 1417328865 | Buffy Pryke | Massage Therapist | 4520 Fauntleroy Way Sw, Seattle, WA 98126-2740 | 2015-10-12 |
| 1144624941 | Whitney Hunt | Massage Therapist | 4520 Fauntleroy Way Sw, Seattle, WA 98126-2740 | 2014-10-22 |
| 1093001455 | Kari Lynn Aspaas | Massage Therapist | 4520 Fauntleroy Way Sw, Seattle, WA 98126-2740 | 2011-06-23 |
| 1235352204 | Kate Elizabeth Anglin | Massage Therapist | 4520 Fauntleroy Way Sw, Seattle, WA 98126-2740 | 2007-04-10 |
| 1740313204 | Leah Rae Bowman | Massage Therapist | 4520 Fauntleroy Way Sw, Seattle, WA 98126-2740 | 2007-03-13 |
| 1790826873 | Bryan Scott Wiebe | Chiropractor | 4520 Fauntleroy Way Sw, Seattle, WA 98126-2740 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750926341 | Andre L Cherry | Counselor | Navos - West Seattle, 2600 Sw Holden St, Seattle, WA 98126 | 2019-11-07 |
| 1477071314 | Hailey Justine Long | Registered Nurse | 5444 29th Ave Sw, Seattle, WA 98126 | 2017-08-30 |
| 1952824153 | Margaret Jane Oliver | Behavior Technician | 7942 29th Ave Sw, Seattle, WA 98126 | 2017-07-19 |
| 1538610282 | Kathleen Unterreiner Licsw | Community/Behavioral Health | 3261 Sw Avalon Way, Apt 411, Seattle, WA 98126 | 2016-10-18 |
| 1689123507 | Omotade Adeola Mallum | Occupational Therapy Assistant | 9408 35th Ave Sw, Unit B, Seattle, WA 98126 | 2016-10-04 |
| 1598211732 | Christopher Shawn Osler | Physical Therapy Assistant | 7346 32nd Ave Sw, Seattle, WA 98126 | 2016-08-28 |
| 1871989368 | Sara Lynne Smith | Counselor | 5225 35th Avenue South West, Seattle, WA 98126 | 2015-04-10 |
| 1689083032 | Kristine Ellyn Highlander | Nurse Practitioner | 2600 Sw Holden St., Navos Inpatient Services, Seattle, WA 98126 | 2014-08-11 |
| 1346657814 | Buu Bui | Family Medicine | 4550 Fauntleroy Way Sw # Ms 206-01, Seattle, WA 98126 | 2014-07-16 |
| 1598015950 | Kimberly Pendergrass | Social Worker | 2600 S. W. Holden Street, Seattle, WA 98126 | 2012-09-13 |
| Find all providers in zip 98126 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174135925 | Brent Duncan | Chiropractor | 4813 Sw Walker St, Seattle, WA 98116-2149 | 2020-08-21 |
| 1336750900 | Hanchuan Ma | Chiropractor | 4744 41st Ave Sw Apt 415, Seattle, WA 98116-4568 | 2020-08-16 |
| 1871122234 | Mei Ling Watel Robin | Chiropractor | 3611 Woodland Park Ave N Ste 100, Seattle, WA 98103-7905 | 2020-04-07 |
| 1164065843 | Alliance Wellness Chiropractic LLC | Chiropractor | 3642 33rd Ave S Ste C1, Seattle, WA 98144-6951 | 2019-10-24 |
| 1225682438 | Aixa Janice Santos Rivera | Chiropractor | 1420 E Madison St Ste 1, Seattle, WA 98122-7022 | 2019-07-25 |
| 1700441938 | Chiropractic Transformations, Pllc | Chiropractor | 2351 10th Ave E Ste A, Seattle, WA 98102-4009 | 2019-05-02 |
| 1265999221 | Robert Adams | Chiropractor | 3837 13th Ave W Ste 208, Seattle, WA 98119-1359 | 2019-02-26 |
| 1639647654 | Lake Union Wellness, Ps | Chiropractor | 2033 6th Ave Ste 917, Seattle, WA 98121-2568 | 2018-11-07 |
| 1154805745 | Kaitlyn Lyell Burnette | Chiropractor | 400 N 34th St Ste 204, Seattle, WA 98103-8600 | 2018-09-19 |
| 1932692902 | Samantha Rose Rothbauer | Chiropractor | 104 Pike St Ste 210, Seattle, WA 98101-2010 | 2018-06-13 |
| Find all providers in SEATTLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.