Tracy Ozanich, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00016350 Issued in WA

Practice address

23303 Highway 99 Ste G
Edmonds, WA 98026-8762

Phone

(425) 697-5188

Fax

(425) 673-1928

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

No

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.

• Nash Chiropractic PS

  • Chiropractor
  • Edmonds, WA
  • NPI 1134319650
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154479632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 228TH ST SE APT E202",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980217436",
            "telephone_number": "425-697-5188",
            "fax_number": "425-678-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23303 HIGHWAY 99 STE G",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268762",
            "telephone_number": "425-697-5188",
            "fax_number": "425-673-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZANICH",
        "first_name": "TRACY",
        "name_prefix": "Miss",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00016350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES PIN#",
            "identifier": "0202662",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin M Orourke, DPM
• Thomas Osterdahl, CDP
• Kristin Ott, MSW, LSWAIC
• Sarah Elizabeth Ouano, ND
• Glen R Owen, O.D.
• Pacific Healthcare, LLC
• Pacific Mental Health
• Pacific Nutrition & Wellness
• Pacific Vascular Incorporated
• Justin M Pagan, D.D.S., M.S.D.

• All providers in Edmonds, WA
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.