NORTHWEST FAMILY CHIROPRACTIC PC (NPI# 1689728610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689728610 |
| Entity Type | Organization |
| Organization Name | NORTHWEST FAMILY CHIROPRACTIC PC |
| Practice Address |
17615 85th Avenue Ct E Puyallup WA 98375-1859 |
| Practice Telephone | 2538486603 |
| Practice Fax Number | 2534459430 |
| Mailing Telephone | 2538486603 |
| Mailing Fax Number | 2534459430 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2018-05-07 |
| Authorized Official Name | DR. JEFFREY LYNN HOLMES (DOCTOR OF CHIROPRACTIC) |
| Authorized Official Telephone | 2538486603 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2705 | WA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WA CHIRO LICENSE | 2705 | 01 |
| WA | WA UBI# | 601879408 | 01 |
| WA | REGENCE | H04731 | 01 |
| WA | LNI PROVIDER # | LNI | 01 |
| WA | RAILROAD MEDICARE | 350050140 | 01 |
| Street Address |
17615 85TH AVENUE CT E |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98375-1859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366555765 | Jeffrey L Holmes | Chiropractor | 17615 85th Avenue Ct E, Puyallup, WA 98375-1859 | 2006-08-17 |
| 1053549337 | Marissa Johnson | Occupational Therapist | 17615 85th Avenue Ct E, Puyallup, WA 98375-1859 | 2009-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673817 | Cheryl Dann | Registered Nurse | 7224 Pacific Highway E, Milton, WA 98375 | 2019-11-07 |
| 1326554601 | Jasmanpreet Kaur Sidhu | Nurse's Aide | 17003 83rd Ave Cte, Puyallup, WA 98375 | 2017-12-21 |
| 1295257137 | Rafael Martin Morones IIi | Registered Nurse | 17802 87th Ave E, Puyallup, WA 98375 | 2017-07-12 |
| 1467990556 | Tessa D Parker | Massage Therapist | 17528 Meridian E Suite 207, Puyallup, WA 98375 | 2017-02-08 |
| 1144674326 | June Park | Social Worker | 9414 185th Street Ct E, Puyallup, WA 98375 | 2016-04-14 |
| 1417384348 | Washington Dental Corporation, PC | Dentist | 16810 Meridian East Suite J107, Puyallup, WA 98375 | 2013-10-10 |
| 1861825663 | L&t Chinese Medicine LLC | Acupuncturist | 16515 Meridian E., Ste. 200b, Puyallup, WA 98375 | 2013-08-15 |
| 1508110081 | Jennifer Gillings | Speech-Language Pathologist | 17418 74th Ave E, Puyallup, WA 98375 | 2012-11-05 |
| 1275887267 | Andrew Nelson Smith | Pharmacist | 14308 Meridian Ave E., Puyallup, WA 98375 | 2012-10-30 |
| 1538440714 | Zorawar Singh | Dentist | 16810 Meridian E Suite J107, Puyallup, CA 98375 | 2011-09-01 |
| Find all providers in zip 98375 | ||||
| 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 |
|---|---|---|---|---|
| 1356816706 | Tiffany Morris | Chiropractor | 5610 176th St E Ste D105, Puyallup, WA 98375-9305 | 2018-10-11 |
| 1659731974 | Life Force Chiropractic of Puyallup Inc | Chiropractor | 13333 Meridian E Ste H, Puyallup, WA 98373-2405 | 2016-02-29 |
| 1205186277 | Dean Raymond Gerimonte II | Chiropractor | 11319 122nd St E, Puyallup, WA 98374-2819 | 2012-09-17 |
| 1841548625 | Rainier Sports and Spinal Rehab, Inc | Chiropractor | 13613 Meridian East, Suite #260, Puyallup, WA 98373 | 2012-08-27 |
| 1205193364 | Patrick Campbell Mcauley II | Chiropractor | 9002 190th St E, Puyallup, WA 98375-6157 | 2012-04-13 |
| 1922321330 | Jack Orville Kantola | Chiropractor | 12815 Canyon Rd E Ste K, Puyallup, WA 98373-5104 | 2010-03-12 |
| 1962649244 | Integrity Chiropractic | Chiropractor | 2825 E Main Ave, Puyallup, WA 98372-3167 | 2009-01-08 |
| 1215191762 | The Chiropractic Place, P.s. | Chiropractor | 11803 101st Ave E Ste 100, Puyallup, WA 98373-3473 | 2008-07-14 |
| 1598946253 | Erik William Gilbertson | Chiropractor | 1420 S Meridian, Suite A, Puyallup, WA 98371-6914 | 2007-11-21 |
| 1134347214 | Leslie Mark Merwin | Chiropractor | 15311 Canyon Rd E, Puyallup, WA 98375-7473 | 2007-04-23 |
| Find all providers in PUYALLUP | ||||
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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.