Individual provider Active NPI

Jessica Ashley Bareng-Barros, D.C.

  • Chiropractor
  • Normandy Park, WA
National Provider Identifier
1992197701
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60424097 Issued in WA
Practice address
19987 1St Ave S
Suite 102
Normandy Park, WA 98148-2400
Phone
(206) 824-7200
NPI assigned
Mar 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60424097 WA Primary

Addresses

Primary practice location

19987 1St Ave S
Suite 102
Normandy Park, WA 98148-2400

Mailing address

19987 1St Ave S
Suite 102
Normandy Park, WA 98148-2400

Other names 1

  • Dr. Jessica Ashley Miguel Bareng Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150603001008 WA Practitioner - Chiropractic 8426379470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

914 D St NE
Suite 101
Auburn, WA 98002-4163
Phone (253) 939-0906

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Renovo Chiropractic & Wellness LLC Chiropractor CurrentSince Sep 28, 2024 Accepting new patients
Synthesis Medical, PS Chiropractor CurrentSince May 27, 2021 Accepting new patients

Locations

914 D St NE
Ste 101
Auburn, WA 98002
Phone (253) 245-1919

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": "1425340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1992197701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19987 1ST AVE S",
            "address_2": "SUITE 102",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981482400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19987 1ST AVE S",
            "address_2": "SUITE 102",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981482400",
            "telephone_number": "206-824-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARENG-BARROS",
        "first_name": "JESSICA ASHLEY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-03",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60424097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA ASHLEY",
            "last_name": "BARENG",
            "middle_name": "MIGUEL",
            "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 Mar 3, 2015; 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.