DR. KIMBERLY RENEE FORMO D.C.
NPI 1336330877
Chiropractor in Woodinville, WA

Active since August 08, 2007Accepts Medicare Assignment
17401 135TH AVE NE, SUITE 4, WOODINVILLE, WA 98072(425) 483-2320(425) 424-3256 Get Directions Write a Review

NPPES record last updated: August 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kimberly Renee Formo D.c. NPPES

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

DR. KIMBERLY RENEE FORMO D.C. (NPI 1336330877) is an individual chiropractor in Woodinville, Washington, licensed in Washington (CH00034796) and active in the NPI registry since August 2007. She is a graduate of Western States College Of Chiropractic (2007).

NPPES Registry Identity

NPI1336330877
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. KIMBERLY RENEE FORMOCredential: D.C.
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
Fax(425) 424-3256
Sole ProprietorYes
Medical School CMSWestern States College Of ChiropracticGraduated 2007
Enumeration DateAugust 8, 2007
NPI 1336330877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in WA · CH00034796
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.

17401 135TH AVE NE, Woodinville, WA 98072

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. Kimberly Renee Formo D.c. 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 ID9638265986
PECOS Enrollment IDI20071017000666

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 5 spinal regions 98942
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's alignment. In a 5 spinal region treatment, the chiropractor applies controlled force to specific areas in your neck, mid-back, lower back, and both sides of your pelvis.
136 services12 patients

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
17401 135TH AVE NE, SUITE 4
WOODINVILLE, WA 98072
Naturopath
17401 135TH AVE NE, SUITE 6
WOODINVILLE, WA 98072
Chiropractor (Nutrition)
17401 135TH AVE NE, SUITE #4
WOODINVILLE, WA 98072
Massage Therapist
17401 135TH AVE NE, SUITE 1
WOODINVILLE, WA 98072
Acupuncturist
17401 135TH AVE NE, SUITE 6
WOODINVILLE, WA 98072
Chiropractor
17401 135TH AVE NE, #4
WOODINVILLE, WA 98072

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 Kimberly Formo's NPI number?

The NPI number for Kimberly Formo is 1336330877. It was assigned to this individual provider in the NPPES registry on August 8, 2007.

Where is Kimberly Formo located?

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

What is Kimberly Formo's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kimberly Formo enrolled in Medicare?

Yes. Kimberly Formo 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 Kimberly Formo accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kimberly Formo 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 Kimberly Formo was last updated on August 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.