Individual provider Active NPI

Tanya J Vanasse, D.C.

  • Chiropractor
  • Eau Claire, WI
National Provider Identifier
1710987490
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3856-012 Issued in WI
Practice address
1227 Menomonie St Ste a
Eau Claire, WI 54703-5996
Phone
(715) 839-9999
Fax
(715) 839-9978
NPI assigned
Jul 26, 2005
Sex
Female
Sole proprietor
Yes

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 3856-012 WI Primary

Addresses

Primary practice location

1227 Menomonie St Ste a
Eau Claire, WI 54703-5996

Mailing address

1227 Menomonie St Ste a
Eau Claire, WI 54703-5996
Phone (715) 839-9999

Other identifiers 1

IdentifierTypeStateIssuer
043732396010OtherWIBLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060531000170 WI Practitioner - Chiropractic 9032120258 Practice locations: Eau Claire, WI

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1227 Menomonie St
Suite a
Eau Claire, WI 54703-5996
Phone (715) 839-9999

1227 Menomonie St a
Eau Claire, WI 54703-5996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3856-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Eau Claire Spine & Orthopedics, SC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710987490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 MENOMONIE ST STE A",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035996",
            "telephone_number": "715-839-9999",
            "fax_number": "715-839-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 MENOMONIE ST STE A",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035996",
            "telephone_number": "715-839-9999",
            "fax_number": "715-839-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANASSE",
        "first_name": "TANYA",
        "middle_name": "J",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3856-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "043732396010",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

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.