Individual provider Active NPI

Olivia Rose Tanasse, DC

  • Chiropractor
  • Tumwater, WA
National Provider Identifier
1073239927
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61355334 Issued in WA
Practice address
344 Cleveland Ave SE Ste D
Tumwater, WA 98501-3342
Phone
(360) 357-5170
Fax
(360) 357-5173
NPI assigned
Oct 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61355334 WA Primary

Addresses

Primary practice location

344 Cleveland Ave SE Ste D
Tumwater, WA 98501-3342

Mailing address

344 Cleveland Ave SE Ste D
Tumwater, WA 98501-3342
Phone (360) 357-5170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221123000906 WA Practitioner - Chiropractic 1850769860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tanasse Chiropractic, Inc.Group PAC ID 3971597733, 3 clinicians

Practice addresses (Care Compare)

344 Cleveland Ave SE
Suite D
Tumwater, WA 98501-3342
Phone (360) 357-5170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tanasse Chiropractic, Inc. CurrentSince Oct 12, 2022 Accepting new patients

Locations

344 Cleveland Ave SE
Ste D
Tumwater, WA 98501
Phone (360) 357-5170

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1073239927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 CLEVELAND AVE SE STE D",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985013342",
            "telephone_number": "360-357-5170",
            "fax_number": "360-357-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 CLEVELAND AVE SE STE D",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985013342",
            "telephone_number": "360-357-5170",
            "fax_number": "360-357-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANASSE",
        "first_name": "OLIVIA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61355334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.