DR. JILL DIANNE MASSENGILL (NPI# 1578694717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578694717 |
| Entity Type | Individual |
| Full Name | DR. JILL DIANNE MASSENGILL |
| Credential | D.C. |
| Practice Address |
249 Main Ave. S. Suite B North Bend WA 98045 |
| Mailing Address |
Po Box 1056 North Bend WA 98045-1056 |
| Practice Telephone | 4258884170 |
| Mailing Telephone | 4258884170 |
| Mailing Fax Number | 4258886431 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2722 | WA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2016442 | 05 | |
| WA | WA L&I | 35211 | 01 |
| Street Address |
249 MAIN AVE. S. SUITE B |
| City | NORTH BEND |
| State | WA |
| Zip Code | 98045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174654313 | Scott Alexander Massengill | Chiropractor | 249 Main Ave. S., Suite B, North Bend, WA 98045 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730426388 | Corrinna Walter | Student in an Organized Health Care Education/Training Program | 1345 Stilson Avenue Se, North Bend, WA 98045 | 2013-01-15 |
| 1265776066 | Barry Crossan | Pharmacist | 360 E North Bend Way, North Bend, WA 98045 | 2012-11-16 |
| 1013200807 | Therapeutic Health LLC | Massage Therapist | 230 W 3rd Street, North Bend, WA 98045 | 2011-05-26 |
| 1922399500 | Nicole Renee Femling | Massage Therapist | 111 W North Bend Way, North Bend, WA 98045 | 2011-04-29 |
| 1922309186 | John Hammond Gower IIi | Mechanotherapist | 12622 412th Se Ave, North Bend, WA 98045 | 2010-11-04 |
| 1508194879 | Leanne Bruner | Contractor | 410 E. North Bend Way, North Bend, WA 98045 | 2009-11-25 |
| 1649456344 | Frankie Eugene Orr | Massage Therapist | 113 Bendigo Blvd. N, Unit-c, North Bend, WA 98045 | 2008-01-14 |
| 1285826537 | Steven L. Paige | Dentist | 6015 Capitol Blvd, Tumwater, WA 98045 | 2007-08-10 |
| 1689865339 | The Snoqualmie Tribe | Clinic/Center | 404 Main Avenue South, North Bend, WA 98045 | 2007-08-07 |
| 1760695142 | Nancy J Coltom | Massage Therapist | 249 Main Ave, Suite B, North Bend, WA 98045 | 2007-05-08 |
| Find all providers in zip 98045 | ||||
| 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 |
|---|---|---|---|---|
| 1063840585 | Bryon Blackwell | Chiropractor | 1946 Sherman Ave Ste 101, North Bend, OR 97459-3476 | 2013-10-18 |
| 1306147251 | Kimberly Anne Kohr | Chiropractor | 249 Main Ave S, B1, North Bend, WA 98045-8177 | 2010-11-09 |
| 1134339658 | Alpine Chiropractic Center Inc | Chiropractor | 118 Downing Ave N, North Bend, WA 98045-8301 | 2007-05-23 |
| 1265569198 | Leslie Bedell | Chiropractor | 145 E 3rd St, North Bend, WA 98045-8144 | 2007-02-27 |
| 1588729693 | Gereg A Pfiffner | Chiropractor | 418 East North Bend Way, North Bend, WA 98045 | 2006-12-27 |
| 1841355252 | Robert Michael Richards | Chiropractor | 2184 Broadway St, North Bend, OR 97459-2330 | 2006-12-26 |
| 1174699680 | Rick Charles White | Chiropractor | 1611 Virginia Ave, Ste 117, North Bend, OR 97459 | 2006-11-27 |
| 1841360674 | Matthew David Miller | Chiropractor | 325 East Third Street, North Bend, WA 98045 | 2006-11-09 |
| 1447349592 | Bradley Donald Kaasa | Chiropractor | 325 E 3rd St, North Bend, WA 98045-8250 | 2006-10-12 |
| 1184720229 | Michael Patrick Bartell | Chiropractor | 2182 Broadway Ave, North Bend, OR 97459-2330 | 2006-09-16 |
| Find all providers in NORTH BEND | ||||
| City | NORTH BEND |
| Zip Code | 98045 |
Please comment or provide details below to improve the information on DR. JILL DIANNE MASSENGILL.
| 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.