Thomas L. Fasnacht

Primary specialty

Sonography Radiologic TechnologistTaxonomy code 2471S1302X

Practice address

17073 Hamlin Rd NE
Lake Forest Park, WA 98155-5529

Phone

(206) 713-7684

NPI assigned

Mar 23, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1821482340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17073 HAMLIN RD NE",
            "city": "LAKE FOREST PARK",
            "state": "WA",
            "postal_code": "981555529",
            "telephone_number": "206-713-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17073 HAMLIN RD NE",
            "city": "LAKE FOREST PARK",
            "state": "WA",
            "postal_code": "981555529",
            "telephone_number": "206-713-7684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASNACHT",
        "first_name": "THOMAS",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Giovinazzo MD PHD PLLC
• Cheryl S. Decker, MS, RD, CD
• Emily Pearson Easley, ARNP
• Charles Fredrick Ebsworth, D.D.S.
• Willow Eight
• Bethany Field
• Rebecca Foglietti
• Fred Ebsworth DDS PS
• Rachelle M Friskey, LMHCA
• Kristina Sylla Fury

• Sonography Radiologic Technologist in Lake Forest Park, WA
• Providers in Lake Forest Park, WA by specialty
• Sonography Radiologic Technologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.