Individual provider Active NPI

Teresa Kathleen Schreiber, MHS PA-C

  • Surgical Physician Assistant
  • Puyallup, WA
National Provider Identifier
1104251792
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
60696522 Issued in WA
Practice address
1450 5TH St SE Ste 4200
Puyallup, WA 98372-4604
Phone
(253) 792-6555
NPI assigned
Sep 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 60696522 WA Primary

Addresses

Primary practice location

1450 5TH St SE Ste 4200
Puyallup, WA 98372-4604

Mailing address

315 Martin Luther King Jr Way
M/S 737-3-Pcon,737 Fawcett
Tacoma, WA 98405-4234
Phone (253) 459-8231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170306000937 WA Practitioner - Physician Assistant 4688802242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 697-1962

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

Hospital & facility affiliations

  • Multicare Good Samaritan Hospital Hospital, Puyallup, WA, CCN 500079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
60696522WAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Jan 9, 2017 Accepting new patients
Multicare Health System CurrentSince Jan 9, 2017 Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Multicare Health System Past Accepting new patients
Cherry Street Services, Inc. Past Accepting new patients
Columbia Lutheran Charities Past Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

1450 5th St SE
Ste 4200
Puyallup, WA 98372
Phone (253) 459-7000

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

3124 S 19th St
Ste 340
Tacoma, WA 98405
Phone (253) 459-7000

317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400

316 S K St
Tacoma, WA 98405
Phone (253) 403-1375

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1104251792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 MARTIN LUTHER KING JR WAY",
            "address_2": "M/S 737-3-PCON,737 FAWCETT",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054234",
            "telephone_number": "253-459-8231",
            "fax_number": "253-459-7863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 5TH ST SE STE 4200",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983724604",
            "telephone_number": "253-792-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHREIBER",
        "first_name": "TERESA",
        "middle_name": "KATHLEEN",
        "credential": "MHS PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-13",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "60696522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.