Lisa Linnea Olynyk, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00003464 Issued in WA

Practice address

1222 Bronson Way N
#100
Benton, WA 98057

Phone

(425) 228-2824

Fax

(425) 228-6956

NPI assigned

Oct 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 identifiers 1

Other names 1

• Miss Lisa Linnea Wittrock Former name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Steve Mark Olynyk, D.C.

  • Chiropractor
  • Renton, WA
  • NPI 1619087921
  Medicare reassignment
• Steve Olynyk Dba Renton Chiropractic Clinic

  • Chiropractor
  • Renton, WA
  • NPI 1407035785
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598854655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 BRONSON WAY N",
            "address_2": "#100",
            "city": "BENTON",
            "state": "WA",
            "postal_code": "98057",
            "telephone_number": "425-228-2824",
            "fax_number": "425-228-6956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 BRONSON WAY N",
            "address_2": "#100",
            "city": "BENTON",
            "state": "WA",
            "postal_code": "98057",
            "telephone_number": "425-228-2824",
            "fax_number": "425-228-6956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLYNYK",
        "first_name": "LISA",
        "middle_name": "LINNEA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0211810",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "WITTROCK",
            "middle_name": "LINNEA",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• 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.