Individual provider Active NPI

Tashauna Rae Devine, DC

  • Chiropractor
  • Ephrata, WA
National Provider Identifier
1114480191
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60946902 Issued in WA
Practice address
1519 Basin St SW
Ephrata, WA 98823-2135
Phone
(509) 431-3553
NPI assigned
Apr 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60946902 WA Primary

Addresses

Primary practice location

1519 Basin St SW
Ephrata, WA 98823-2135

Mailing address

924 S Division St Apt 122
Moses Lake, WA 98837-3251
Phone (509) 431-3553

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190723002810 WA Practitioner - Chiropractic 7618202136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1519 Basin St SW
Ephrata, WA 98823-2135
Phone (509) 754-2461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH60946902WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Tashauna Devine PLLC Chiropractor CurrentSince Apr 8, 2019 Accepting new patients
William B Davis Inc PS CurrentSince Apr 8, 2019 Accepting new patients

Locations

1519 Basin St SW
Ephrata, WA 98823
Phone (509) 431-3553

Organizations & group practices 2

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": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1114480191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 S DIVISION ST APT 122",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988373251",
            "telephone_number": "509-431-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 BASIN ST SW",
            "city": "EPHRATA",
            "state": "WA",
            "postal_code": "988232135",
            "telephone_number": "509-431-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "TASHAUNA",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60946902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.