DR. NICHOLAS DAVID PETRINI (NPI# 1770888588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770888588 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS DAVID PETRINI |
| Credential | DC |
| Practice Address |
4915 25th Ave Ne Ste 104 Seattle WA 98105-8667 |
| Practice Telephone | 2063157998 |
| Practice Fax Number | 2063162308 |
| Mailing Telephone | 2063157998 |
| Mailing Fax Number | 2063162308 |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2019-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH60647239 | WA | Chiropractic Providers |
| N | 111NS0005X |
Chiropractor Specialization: Sports Physician |
X012149-1 | NY | Chiropractic Providers |
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
CH60647239 | WA | Chiropractic Providers |
| Street Address |
4915 25TH AVE NE STE 104 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98105-8667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386808889 | Jason P Godfrey | Physical Therapist | 4915 25th Ave Ne Ste 104, Seattle, WA 98105 | 2008-07-14 |
| 1417563669 | Alexis Taylor Gonzales | Naturopath | 4915 25th Ave Ne Ste 104, Seattle, WA 98105-8667 | 2020-09-22 |
| 1538645288 | Functional Health Consulting, LLC | Chiropractor | 4915 25th Ave Ne Ste 104, Seattle, WA 98105-8667 | 2018-07-16 |
| 1982092730 | Carrie Belleson | Chiropractor | 4915 25th Ave Ne Ste 104, Seattle, WA 98105-8667 | 2015-01-02 |
| 1902186935 | Johnny Le Mccree | Specialist | 4915 25th Ave Ne Ste 104, Seattle, WA 98105-8667 | 2011-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662396 | Dale Justin Podolsky | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 | 2020-06-04 |
| 1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
| 1427688845 | Daniela Michell Zepeda | Behavioral Analyst | 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 | 2020-01-24 |
| 1255981189 | Emily King | Student in an Organized Health Care Education/Training Program | Mark Hawkins, Pa-c, Mpas, 4311 11th Ave Ne Suite 200, WA 98105 | 2019-09-12 |
| 1821659327 | Sara Katherine Horne | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Mb.11.500, Department of Anesthesiology and Pain Medicine, Seattle, Seattle, WA 98105 | 2019-06-25 |
| 1881252575 | Darryl Lee Wright | Peer Specialist | Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 | 2019-05-29 |
| 1487117891 | Nirupama Madhavan | Behavioral Analyst | 5001 25th Ave Ne, Seattle, WA 98105 | 2019-04-11 |
| 1780155648 | Eryn R Mcentee | Naturopath | 2216 Ne46th St, Seattle, WA 98105 | 2018-12-17 |
| 1356811921 | Kyle Leland Bernbach | Massage Therapist | 5224 Ravenna Ave Ne, Seattle, WA 98105 | 2018-11-27 |
| 1548742380 | Janal Kim | Physician Assistant | 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 | 2018-08-29 |
| Find all providers in zip 98105 | ||||
| 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.