Active NPI
Tara Aschenbrenner, LPN
- Licensed Practical Nurse
- Olympia, WA
National Provider Identifier
1194278168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LP60649499
- Practice address
- 4012 Wiggins Rd SE
Olympia, WA 98501-4372 - Phone
- (360) 491-1036
- NPI assigned
- Jul 26, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LP60649499 | WA | Primary |
Addresses
Primary practice location
4012 Wiggins Rd SE
Olympia, WA 98501-4372
Mailing address
304 Longmire Street
Apt A103
Yelm, WA 98597
Phone (360) 701-6063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164W00000X | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP60649499 | WA | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashley House | Past | Accepting new patients |
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.
-
- Pediatric Skilled Nursing Facility
- Olympia, WA
- NPI 1801019328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469491200000",
"number": "1194278168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 LONGMIRE STREET",
"address_2": "APT A103",
"city": "YELM",
"state": "WA",
"postal_code": "98597",
"telephone_number": "360-701-6063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4012 WIGGINS RD SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985014372",
"telephone_number": "360-491-1036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASCHENBRENNER",
"first_name": "TARA",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-26",
"last_updated": "2016-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WA",
"license": "LP60649499",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164W00000X",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.