Elena Vasquez, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH61613658 Issued in WA

Practice address

10516 Silverdale Way NW Ste 110B
Silverdale, WA 98383-8745

Phone

(360) 633-8888

Fax

(360) 286-2365

NPI assigned

Nov 22, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

ChiropracticAlso: Sports Medicine

Education

Western States College of Chiropractic, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pro Sport and Spine PLLCGroup PAC ID 1658656384, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• WA PPO C-SNP
• devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pro Sport and Spine PLLC

  • Sports Physician Chiropractor
  • Gig Harbor, WA
  • NPI 1841672433
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1063237154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5160 BORGEN BLVD STE 101",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328809",
            "telephone_number": "253-853-4000",
            "fax_number": "253-853-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10516 SILVERDALE WAY NW STE 110B",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838745",
            "telephone_number": "360-633-8888",
            "fax_number": "360-286-2365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5160 Borgen Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Gig Harbor",
            "state": "WA",
            "postal_code": "983328809",
            "country_code": "US",
            "telephone_number": "253-853-4000 x3",
            "fax_number": "253-853-4001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "ELENA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61613658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob R Vanfleet, MD
• Sarah Vanhoover, LMP
• Danrung Vanichkul, PA-C
• Laken Dean Vargo, MS, LMHC
• Amy Linda Varshock, LD, DPD
• Brittney Vaughn
• Jessica Vecchio, LMFT
• John Veiga, MD
• Nelida Vela
• Robyn B. Vera, DO

• Chiropractor in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.