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FORMO ENTERPRISES, INC
NPI 1275899460
Chiropractor - Nutrition in Woodinville, WA

Active since April 02, 2012
17401 135TH AVE NE, SUITE #4, WOODINVILLE, WA 98072(425) 483-2320(425) 424-3256 Get Directions Write a Review

NPPES record last updated: April 2, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Formo Enterprises, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORMO ENTERPRISES, INC (NPI 1275899460) is a healthcare organization registered as a nutrition in Woodinville, Washington and active in the NPI registry since April 2012. The organization lists Kimberly Renee Formo, President/chiropractor, as its authorized official.

NPPES Registry Identity

NPI1275899460
Entity TypeOrganization
Primary Taxonomy111NN1001X
Legal Business NameFORMO ENTERPRISES, INC
Location Address17401 135TH AVE NE, SUITE #4Woodinville, WA 98072-6825
Mailing Address17401 135th Ave Ne, Suite #4Woodinville, WA 98072-6825 · (425) 483-2320 · Fax (425) 424-3256
Phone(425) 483-2320
Fax(425) 424-3256
Organization SubpartYesParent: Kimberly Formo, Dc
Authorized OfficialKimberly Renee FormoPresident/chiropractor · (425) 483-2320
Enumeration DateApril 2, 2012
✔ NPI 1275899460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · NutritionChiropractic Providers
Taxonomy Code111NN1001X
License✔ Licensed in WA · CH00034796
Definition
Chiropractic Nutrition is that specialty within the chiropractic profession that deals with the overall factors that affect the patient's ability to maintain the manipulative correction and thus sustain better neurological integrity. The Chiropractic Nutrition Specialist will perform extensive research on the patient's previous health history, ethnicity, and any family history related to what the patient is being treated for. Patients fill out questionnaires concerning dietary and sleep patterns and previous or present symptomology. A nutrition examination would be performed to assess areas such as absorption rates, adrenal function, kidney health, lung health etc. The patient is often instructed on how to check the pH of their saliva and urine, test for the presence of Candida Albicans, etc., at home. Outside laboratory testing includes blood, urine, hair analysis, food allergy testing etc. The patient's prescription and over the counter medications are recorded and analyzed.
17401 135TH AVE NE, Woodinville, WA 98072
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Other Identifiers 1

Medicare UPIN8868363WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Formo Enterprises, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Formo Enterprises, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kimberly Formo, D.C.
Chiropractic
NPI 1336330877
17401 135TH AVE NE SUITE 4
Woodinville, WA 98072
(425) 483-2320
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Formo Enterprises, Inc's NPI number?

The NPI number for Formo Enterprises, Inc is 1275899460. It was assigned to this organization in the NPPES registry on April 2, 2012.

Where is Formo Enterprises, Inc located?

Formo Enterprises, Inc is located at 17401 135th Ave NE Suite #4, Woodinville, WA 98072. The listed phone number is (425) 483-2320.

What is Formo Enterprises, Inc's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Nutrition, with taxonomy code 111NN1001X.

Is Formo Enterprises, Inc enrolled in Medicare?

Yes. Formo Enterprises, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Formo Enterprises, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Formo Enterprises, Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Formo Enterprises, Inc accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Formo Enterprises, Inc 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 Formo Enterprises, Inc was last updated on April 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.