Individual provider Active NPI

Karen Lynn Busso, DC

  • Chiropractor
  • Silverdale, WA
National Provider Identifier
1477634939
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003165 Issued in WA
Practice address
3595 NW Bucklin Hill Rd
Silverdale, WA 98383
Phone
(360) 698-3140
Fax
(360) 692-1441
NPI assigned
Oct 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00003165 WA Primary

Addresses

Primary practice location

3595 NW Bucklin Hill Rd
Silverdale, WA 98383

Mailing address

PO Box 483
Silverdale, WA 98383
Phone (360) 698-3140

Other identifiers 3

IdentifierTypeStateIssuer
203760203760OtherWAPREMERA BLUE CROSS
91118703306OtherWAKPS
150899OtherWALFI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101126000011 WA Practitioner - Chiropractic 7214123645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Jennifer Sansen P SGroup PAC ID 8921999426, 2 clinicians

Practice addresses (Care Compare)

200 Bethel Ave
Port Orchard, WA 98366-5216
Phone (360) 876-4171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kitsap Chiropractic Chiropractor CurrentSince Jul 20, 2026 Accepting new patients
Dr. Jennifer Sansen, P.S. Chiropractor CurrentSince Aug 1, 2024 Accepting new patients
Frederick Chiropractic Chiropractor PastSince Feb 1, 2016 Accepting new patients
Kitsap Medical Supply, LLC PastSince May 17, 2020 Accepting new patients

Locations

200 Bethel Ave
Port Orchard, WA 98366
Phone (360) 876-4171

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477634939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 483",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "98383",
            "telephone_number": "360-698-3140",
            "fax_number": "360-692-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3595 NW BUCKLIN HILL RD",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "98383",
            "telephone_number": "360-698-3140",
            "fax_number": "360-692-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSO",
        "first_name": "KAREN",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA BLUE CROSS",
            "identifier": "203760203760",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KPS",
            "identifier": "91118703306",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LFI",
            "identifier": "150899",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.