BROOKLEY MORGAN PAVNICA (NPI# 1366804759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366804759 |
| Entity Type | Individual |
| Full Name | BROOKLEY MORGAN PAVNICA |
| Other Name | BROOKLEY MORGAN BILLINGSLEY |
| Practice Address |
1645 Cooper Point Rd Sw Olympia WA 98502-5735 |
| Practice Telephone | 3609436206 |
| Mailing Telephone | 3609436206 |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2016-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 08002894A | IN | Chiropractic Providers |
| Street Address |
1645 COOPER POINT RD SW |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98502-5735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508159070 | Taylor Jacob Vanquaethem | Chiropractor | 1645 Cooper Point Rd Sw, Olympia, WA 98502-5735 | 2011-05-17 |
| 1366973356 | Tyler Kier | Massage Therapist | 1645 Cooper Point Rd Sw, Olympia, WA 98502-5735 | 2017-03-22 |
| 1962898932 | Vanquaethem Chiropractic Clinic | Chiropractor | 1645 Cooper Point Rd Sw, Olympia, WA 98502-5735 | 2015-04-07 |
| 1497012348 | Christin Olivia Martin | Massage Therapist | 1645 Cooper Point Rd Sw, Olympia, WA 98502-5735 | 2012-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409172 | Fanny Cordero | Interpreter | 1415 4th Ave W, Olympia, WA 98502 | 2020-08-26 |
| 1235762832 | Accessible Living Physical Therapy | Clinic/Center | 3524 7th Ave Se, Olympia, WA 98502 | 2020-02-21 |
| 1548807738 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1200 Cooper Point Road Sw, Suite 100, Olympia, WA 98502 | 2019-12-06 |
| 1851946388 | Katherine Ann Vitela | Registered Nurse | 4909 Green Wood Dr Sw, Olympia, WA 98502 | 2019-08-01 |
| 1538632658 | Carmen Rae Breding | Massage Therapist | 2627 Capital Mall Dr Se, Olympia, WA 98502 | 2019-01-11 |
| 1285129155 | Fook Yee Cheung | Genetic Counselor, MS | 2010 Caton Way Sw Ste 102, Olympia, WA 98502 | 2018-06-24 |
| 1942724158 | William Coburn | Specialist/Technologist | 703 Lilly Road Ne, Suite 104, Olympia, WA 98502 | 2017-07-29 |
| 1225567415 | Thierry Buckner | Counselor | 2400 Bristol Court Sw, Olympia, WA 98502 | 2017-06-09 |
| 1619406048 | Trenton Reid | Massage Therapist | 2103 Harrison Ave Nw #2642, Olympia, WA 98502 | 2017-06-08 |
| 1962807305 | Richa Mehta | Dentist | 1530 Black Lake Boulevard, Suite A103, Olympia, WA 98502 | 2014-10-28 |
| Find all providers in zip 98502 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416538 | Robert Martinez Molato | Chiropractor | 5106 Donnelly Dr Se, Olympia, WA 98501-5012 | 2020-10-26 |
| 1316411028 | Jonathan Holmes | Chiropractor | 822 Sleater Kinney Rd Ne, Olympia, WA 98506-5271 | 2019-01-15 |
| 1851869960 | Adam Douglas Trachsel | Chiropractor | 2627 Capital Mall Dr Sw Ste 3a, Olympia, WA 98502-8616 | 2018-11-06 |
| 1881160208 | Leslie Paul Ling | Chiropractor | 916 Giles Ave Nw, Olympia, WA 98502-4815 | 2018-10-23 |
| 1326555020 | Emma L Swartling | Chiropractor | 2335 Mayes Rd Se, Olympia, WA 98503-3414 | 2018-01-03 |
| 1780138727 | Ari Anthony | Chiropractor | 7306 Puget Beach Rd Ne, Olympia, WA 98516-9545 | 2016-08-08 |
| 1316287477 | Steven Miles Cadle | Chiropractor | 3775 Martin Way E Ste B2, Olympia, WA 98506-5007 | 2013-02-26 |
| 1508159070 | Taylor Jacob Vanquaethem | Chiropractor | 1645 Cooper Point Rd Sw, Olympia, WA 98502-5735 | 2011-05-17 |
| 1801033865 | Michelle Doyle | Chiropractor | 222 Kenyon St Nw Ste 3, Olympia, WA 98502-4553 | 2009-01-13 |
| 1891976528 | Rosser Chiropractic Ps | Chiropractor | 705 4th Ave E, Olympia, WA 98506-3929 | 2007-11-21 |
| Find all providers in OLYMPIA | ||||
Please comment or provide details below to improve the information on BROOKLEY MORGAN PAVNICA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.