Yesenia Chavarin

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP61114220 Issued in WA

Practice address

412 Black Hills LN SW Ste a
Olympia, WA 98502-8142

Phone

(360) 995-4219

NPI assigned

Dec 4, 2020

Last updated

Jun 30, 2022By the provider in NPPES

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Harkness Medical Group, PLLC

  • Family Medicine Physician
  • Olympia, WA
  • NPI 1215518113
  Medicare reassignment NPD
• Heritage Family Medicine

  • Family Medicine Physician
  • Olympia, WA
  • NPI 1427136977
  NPD (past)
• Littlerock Family Medicine, P.S.

  • Family Medicine Physician
  • Tumwater, WA
  • NPI 1689994527
  NPD (past)

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1306441415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4923",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983874061",
            "telephone_number": "253-353-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 BLACK HILLS LN SW STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028142",
            "telephone_number": "360-995-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVARIN",
        "first_name": "YESENIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61114220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Louise Charles, LMP
• Holly Chase
• Elandra Evelyn Chatman
• Bethany Megan Grace Chau, LMT
• Paul Chauvin, DVM
• Angela Jean Chavez, DMD
• Cecilia Chavez
• Hao Wen Chen, PA-C
• Tim Wong Chen, P.T., D.P.T.
• Ya-Wei Chen, DDS, MSOB, PHD

• Nurse Practitioner in Olympia, WA
• Providers in Olympia, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.