Brookley Morgan Pavnica

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002894A Issued in IN

Practice address

1645 Cooper Point Rd SW
Olympia, WA 98502-5735

Phone

(360) 943-6206

NPI assigned

Mar 24, 2016

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

Other names 1

• Brookley Morgan Billingsley Former name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Billingsley Chiropractic Center PCGroup PAC ID 4385791243, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Billingsley Chiropractic Center PC

  • Chiropractor
  • Indianapolis, IN
  • NPI 1629216544
  Medicare reassignment Care Compare group
• Langel Chiropractic, P.S.

  • Chiropractor
  • Olympia, WA
  • NPI 1629267471
  NPD (past)
• Vanquaethem Chiropractic Clinic

  • Chiropractor
  • Olympia, WA
  • NPI 1962898932
  NPD (past)

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1366804759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 COOPER POINT RD SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025735",
            "telephone_number": "360-943-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 COOPER POINT RD SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025735",
            "telephone_number": "360-943-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVNICA",
        "first_name": "BROOKLEY",
        "middle_name": "MORGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002894A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKLEY",
            "last_name": "BILLINGSLEY",
            "middle_name": "MORGAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katie Lorraine Pauley, ARNP
• Nathan Erik Paull
• Nathaniel Beecher Paull, M.D.
• Amanda Lyn Paulson, CST
• Sherrie Pavlovic, R.N.
• Paymon Kamkar, D.D.S.
• Brad A. Payne, P.T.
• Conley Payne, DDS
• Meg Payne
• Eli Peace

• Chiropractor in Olympia, WA
• Providers in Olympia, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.