Individual provider Active NPI

Tobie J Hanson, LMP

  • Specialist
  • Maple Valley, WA
National Provider Identifier
1316194814
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00013825 Issued in WA
Practice address
23220 Maple Valley Black Diamond Rd SE Ste 13
Maple Valley, WA 98038-8249
Phone
(425) 432-1449
NPI assigned
Aug 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00013825 WA Primary

Addresses

Primary practice location

23220 Maple Valley Black Diamond Rd SE Ste 13
Maple Valley, WA 98038-8249

Mailing address

23220 Maple Valley Black Diamond Rd SE Ste 13
Maple Valley, WA 98038-8249
Phone (425) 432-1449

Other identifiers 2

IdentifierTypeStateIssuer
0205964OtherWALABOR & INDUSTRIES
1316194814OtherWASURNAME CHANGE DUE TO MARRIAGE

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

LicenseStateTypeSpecialty
MA00013825WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Maple Valley Chiropractic and Massage, Inc. CurrentSince Nov 17, 2019 Accepting new patients

Locations

23220 Maple Valley Black Diamond Rd SE
Ste 13
Maple Valley, WA 98038
Phone (425) 432-1449

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": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1316194814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23220 MAPLE VALLEY BLACK DIAMOND RD SE STE 13",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980388249",
            "telephone_number": "425-432-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23220 MAPLE VALLEY BLACK DIAMOND RD SE STE 13",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980388249",
            "telephone_number": "425-432-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "TOBIE",
        "middle_name": "J",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00013825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0205964",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SURNAME CHANGE DUE TO MARRIAGE",
            "identifier": "1316194814",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.