DR. JEUDI TAING BOULOM DC
NPI 1235250036
Chiropractor in Lynnwood, WA
About Dr. Jeudi Taing Boulom Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEUDI TAING BOULOM DC (NPI 1235250036) is an individual chiropractor in Lynnwood, Washington, licensed in Washington (CH00003326) and active in the NPI registry since April 2007. She is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jeudi Taing Boulom Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jeudi Boulom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lynnwood, WA 98087
- Reassigned Medicare billing, Washington enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jeudi Boulom's NPI number?
The NPI number for Jeudi Boulom is 1235250036. It was assigned to this individual provider in the NPPES registry on April 2, 2007.
Where is Jeudi Boulom located?
Jeudi Boulom practices at 15608 18th Pl W, Lynnwood, WA 98087. The listed phone number is (425) 773-8553.
What is Jeudi Boulom's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Jeudi Boulom enrolled in Medicare?
Yes. Jeudi Boulom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jeudi Boulom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeudi Boulom reassigns Medicare benefits to Boulom Chiropractic Ps Inc (Lynnwood, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeudi Boulom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeudi Boulom accept?
Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jeudi Boulom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jeudi Boulom was last updated on May 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Jeudi Taing Boulom, DC · NPI 1235250036
Chiropractor provider in Lynnwood, Washington. Individual provider, active in the CMS NPPES registry since April 2, 2007.
## Identity
- **NPI:** 1235250036 (Entity type: Individual)
- **Enumerated:** April 2, 2007
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** CH00003326 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 15608 18TH PL W, Lynnwood, WA 98087-8800
- **Phone:** (425) 773-8553
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Boulom Chiropractic Ps Inc (NPI 1396070488, Lynnwood, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** May 2, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1235250036) · Data from the CMS NPPES public registry.