Leisa S Garrett, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA10003091 Issued in WA

Practice address

102 E 2ND St
Naches, WA 98937-9743

Phone

(509) 653-2235

Fax

(509) 452-5224

NPI assigned

Nov 17, 2011

Last updated

Apr 16, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WA, OR2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Duke University School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health of Central WashingtonGroup PAC ID 4183536931, 77 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Community Health of Central Washington

  • Federally Qualified Health Center (FQHC)
  • Yakima, WA
  • NPI 1598764920
  Medicare reassignment Care Compare group
• Dispatchhealth Washington PC

  • Emergency Medicine Physician
  • Tacoma, WA
  • NPI 1013490507
  Medicare reassignment
• Post Acute Medical PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Lanham, MD
  • NPI 1730713025

  WA

  Medicare reassignment
• Community Health of Central Washington

  dba Yakima Pediatrics

  • Pediatrics Physician
  • Yakima, WA
  • NPI 1154533222
  NPD (past)
• Community Health of Central Washington

  dba Naches Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Naches, WA
  • NPI 1578775631
  NPD (past)
• Franciscan Medical Group

  • Family Medicine Physician
  • Tacoma, WA
  • NPI 1366539421
  NPD (past)
• Seahurst Pediatrics PLLC

  • Pediatrics Physician
  • Burien, WA
  • NPI 1629002597
  NPD (past)

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1104193242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S 5TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023550",
            "telephone_number": "509-853-1082",
            "fax_number": "509-573-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E 2ND ST",
            "city": "NACHES",
            "state": "WA",
            "postal_code": "989379743",
            "telephone_number": "509-653-2235",
            "fax_number": "509-452-5224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Pacific Ave Ste 600",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "98402",
            "country_code": "US",
            "telephone_number": "253-203-3131",
            "fax_number": "253-397-3530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1411 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981012249",
            "country_code": "US",
            "telephone_number": "253-271-9720",
            "fax_number": "253-212-3372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Pacific Ave Ste 600",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "98402",
            "country_code": "US",
            "telephone_number": "253-203-3131",
            "fax_number": "253-397-3530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "LEISA",
        "middle_name": "S",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-17",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10003091",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10003091",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2018178",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0462644",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE L&I",
            "identifier": "0310585",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Button
• Robert Chadwick
• Community Health of Central Washington (Allan Bros. Employee Health Clinic)
• Community Health of Central Washington (Naches Medical Clinic)
• Randall Dean
• Philip Gregg Hires, MSSW, LSW
• Camille Marie Jones
• Maya Ruth Knox
• Mary E Lyons, PA-C
• William Ryan Moultray, DO

• Physician Assistant in Naches, WA
• Providers in Naches, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.