Individual provider Active NPI

Yelizaveta Skoromnaya, DC

  • Chiropractor
  • Kennewick, WA
National Provider Identifier
1891550125
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61509406 Issued in WA
Practice address
8901 W Tucannon Ave Ste 160
Kennewick, WA 99336-7213
Phone
(509) 579-5999
Fax
(509) 834-7407
NPI assigned
Feb 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61509406 WA Primary

Addresses

Primary practice location

8901 W Tucannon Ave Ste 160
Kennewick, WA 99336-7213

Mailing address

8901 W Tucannon Ave Ste 160
Kennewick, WA 99336-7213
Phone (509) 579-5999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240228003542 WA Practitioner - Chiropractic 8224473327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BS Chiropractic IncGroup PAC ID 2466713060, 4 clinicians

Practice addresses (Care Compare)

8901 W Tucannon Ave
Suite 160
Kennewick, WA 99336-7213
Phone (509) 579-5999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
BS Chiropractic Inc Chiropractor CurrentSince Feb 15, 2024 Accepting new patients

Locations

8901 W Tucannon Ave
Ste 160
Kennewick, WA 99336
Phone (509) 430-7141

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": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1891550125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 W TUCANNON AVE STE 160",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367213",
            "telephone_number": "509-579-5999",
            "fax_number": "509-834-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 W TUCANNON AVE STE 160",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367213",
            "telephone_number": "509-579-5999",
            "fax_number": "509-834-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOROMNAYA",
        "first_name": "YELIZAVETA",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61509406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.