Individual provider Active NPI

Ashley Brook Rusnak, DC

  • Chiropractor
  • Normandy Park, WA
National Provider Identifier
1649277609
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034734 Issued in WA
Practice address
19655 1St Ave S
#205
Normandy Park, WA 98148-2166
Phone
(206) 429-2922
Fax
(206) 429-2422
NPI assigned
Jul 6, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034734 WA Primary

Addresses

Primary practice location

19655 1St Ave S
#205
Normandy Park, WA 98148-2166

Mailing address

19655 1St Ave S
#205
Normandy Park, WA 98148-2166
Phone (206) 429-2922

Other names 1

  • Dr. Ashley Brook Tessier Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080205000540 WA Practitioner - Chiropractic 9436194636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Clinic of ChiropracticGroup PAC ID 6406939206, 2 clinicians

Practice addresses (Care Compare)

19655 1St S Ave
Suite 205
Normandy Park, WA 98148-2172
Phone (206) 429-2922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00034734WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Clinic of Chiropractic Chiropractor CurrentSince Mar 1, 2008 Accepting new patients
Libs Chiropractic Center, Inc. Chiropractor PastSince Jan 1, 2008 Accepting new patients

Locations

19655 1st Ave S
Ste 205
Normandy Park, WA 98148
Phone (206) 429-2922

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1649277609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19655 1ST AVE S",
            "address_2": "#205",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981482166",
            "telephone_number": "206-429-2922",
            "fax_number": "206-429-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19655 1ST AVE S",
            "address_2": "#205",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981482166",
            "telephone_number": "206-429-2922",
            "fax_number": "206-429-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSNAK",
        "first_name": "ASHLEY",
        "middle_name": "BROOK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-06",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "TESSIER",
            "middle_name": "BROOK",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Normandy Park, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.