Active NPI
Breanna Herink, D.C.
- Chiropractor
- Olympia, WA
National Provider Identifier
1386175651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 60741170
- Practice address
- 3773 Martin Way E
Suite B-106
Olympia, WA 98506-5048 - Phone
- (360) 352-8896
- Fax
- (360) 705-0633
- NPI assigned
- Mar 27, 2017
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 60741170 | WA | Primary |
Addresses
Primary practice location
3773 Martin Way E
Suite B-106
Olympia, WA 98506-5048
Mailing address
3773 Martin Way E
Suite B-106
Olympia, WA 98506-5048
Phone (360) 352-8896
Other names 1
- Breanna Freitag
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60741170 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Growing Family Chiropractic, LLC | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Brownsburg, IN
- NPI 1538923396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490572800000",
"number": "1386175651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3773 MARTIN WAY E",
"address_2": "SUITE B-106",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065048",
"telephone_number": "360-352-8896",
"fax_number": "360-705-0633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3773 MARTIN WAY E",
"address_2": "SUITE B-106",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065048",
"telephone_number": "360-352-8896",
"fax_number": "360-705-0633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERINK",
"first_name": "BREANNA",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-27",
"last_updated": "2017-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "60741170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BREANNA",
"last_name": "FREITAG",
"code": "1",
"type": "Former Name"
}
]
}
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 Mar 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.