DR. JEUDI TAING BOULOM DC
NPI 1235250036
Chiropractor in Lynnwood, WA

Active since April 02, 2007Accepts Medicare Assignment
15608 18TH PL W, LYNNWOOD, WA 98087(425) 773-8553 Get Directions Write a Review

NPPES record last updated: May 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1235250036
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. JEUDI TAING BOULOMCredential: DC
Location Address15608 18TH PL WLynnwood, WA 98087-8800
Mailing Address15608 18th Pl WLynnwood, WA 98087-8800 · (206) 779-8718 · Fax (206) 202-1575
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateApril 2, 2007
Last NPPES UpdateMay 2, 2020
NPPES CertifiedMay 2, 2020
NPI 1235250036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in WA · CH00003326
Definition
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.
15608 18TH PL W, Lynnwood, WA 98087

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID1456772300
PECOS Enrollment IDI20200601001399

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.

Chiropractor
15608 18TH PL W
LYNNWOOD, WA 98087
Chiropractor
15608 18TH PL W
LYNNWOOD, WA 98087

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.

What insurance does Jeudi Boulom accept?

Health plans from PacificSource Health Plans, 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.