Active NPI
Avanssa Kim Huyhn, LMP
- Specialist
- Olympia, WA
National Provider Identifier
1447482716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA60104055
- Practice address
- 1655 Cooper Point Rd SW
Olympia, WA 98502-5735 - Phone
- (360) 352-9100
- Fax
- (360) 352-9108
- NPI assigned
- Aug 19, 2009
- Last updated
- Aug 19, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA60104055 | WA | Primary |
Addresses
Primary practice location
1655 Cooper Point Rd SW
Olympia, WA 98502-5735
Mailing address
1400 Evergreen Park Drive SW
Apt E6
Olympia, WA 98502
Phone (360) 352-9100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA60104055 | Other | WA | PRIVATE INSURANCE AND CASH ONLY |
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 |
|---|---|---|---|
| MA60104055 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dandrea Chiropractic Inc., P.C. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Olympia, WA
- NPI 1013098102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250640000000",
"number": "1447482716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 EVERGREEN PARK DRIVE SW",
"address_2": "APT E6",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "98502",
"telephone_number": "360-352-9100",
"fax_number": "360-352-9108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 COOPER POINT RD SW",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985025735",
"telephone_number": "360-352-9100",
"fax_number": "360-352-9108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUYHN",
"first_name": "AVANSSA",
"middle_name": "KIM",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-19",
"last_updated": "2009-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA60104055",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE INSURANCE AND CASH ONLY",
"identifier": "MA60104055",
"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 Aug 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.