Active NPI
Tennille Bernard, DC
- Chiropractor
- Graham, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 60706033
- Practice address
- 21707 103Rd Avenue CT E Ste B201
Graham, WA 98338-8308 - Phone
- (253) 847-7517
- Fax
- (253) 847-7467
- NPI assigned
- Feb 7, 2017
- Last updated
- Jan 17, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH 60706033 | WA | Primary |
Addresses
Primary practice location
21707 103Rd Avenue CT E Ste B201
Graham, WA 98338-8308
Mailing address
21707 103Rd Avenue CT E Ste B201
Graham, WA 98338-8308
Phone (253) 847-7517
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
21707 103Rd Ave CT E
B201
Graham, WA 98338-8308
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 60706033 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David M. Warwick DC PLLC | Chiropractor | Current | Accepting new patients |
| McMullin Family Chiropractic, PLLC | Chiropractor | Current | Accepting new patients |
Locations
21707 103rd Avenue Ct E
Ste B201
Graham, WA 98338
Phone (253) 655-7262
8650 Martin Way E
Ste 207
Lacey, WA 98516
Phone (360) 951-4504
Organizations & group practices 3
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
- Lacey, WA
- NPI 1013311422
-
- Chiropractor
- Graham, WA
- NPI 1073999165
-
dba McMullin Family Chiropractic
- Chiropractor
- Graham, WA
- NPI 1225894918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737072000000",
"number": "1801334156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21707 103RD AVENUE CT E STE B201",
"city": "GRAHAM",
"state": "WA",
"postal_code": "983388308",
"telephone_number": "253-847-7517",
"fax_number": "253-847-7467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21707 103RD AVENUE CT E STE B201",
"city": "GRAHAM",
"state": "WA",
"postal_code": "983388308",
"telephone_number": "253-847-7517",
"fax_number": "253-847-7467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNARD",
"first_name": "TENNILLE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-07",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH 60706033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Graham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.