Individual provider Active NPI

Tara Lynn Kaiser, ARNP

  • Family Nurse Practitioner
  • Union Gap, WA
National Provider Identifier
1164721981
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61539343 Issued in WA
Practice address
1420 Ahtanum Ridge Dr
Union Gap, WA 98903-1839
Phone
(509) 454-7700
NPI assigned
Mar 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A116569 IA
Family Nurse Practitioner 363LF0000X 202109248NP-PP OR
Family Nurse Practitioner 363LF0000X AP61539343 WA Primary

Addresses

Primary practice location

1420 Ahtanum Ridge Dr
Union Gap, WA 98903-1839

Mailing address

1824 W 8TH St
Cedar Falls, IA 50613-2056
Phone (319) 277-0991

Other practice location 1

1824 W 8th St
Cedar Falls, IA 50613-2056
Phone (319) 277-0991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, OR, WA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20110426000644 IA Practitioner - Nurse Practitioner 4688859234 Reassigns benefits to 1 organization
I20211129000035 OR Practitioner - Nurse Practitioner 4688859234 Reassigns benefits to 1 organization
I20241118001049 WA Practitioner - Nurse Practitioner 4688859234 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Salmon Creek HospitalGroup PAC ID 0446295711, 309 clinicians
SHC Medical Center ToppenishGroup PAC ID 4082980065, 43 clinicians

Practice addresses (Care Compare)

1000 SE Tech Ctr Dr
Suite 120
Vancouver, WA 98683-5548
Phone (360) 260-2773

1420 Ahtanum Ridge Dr
Union Gap, WA 98903-1839
Phone (509) 454-7700

1919 NW Lovejoy St
Portland, OR 97209-1503

2211 NE 139TH St
Vancouver, WA 98686-2742
Phone 3604871000360487

502 W 4TH Ave
Toppenish, WA 98948-1616
Phone (509) 865-3105

516 W 4TH Ave
Toppenish, WA 98948-1616
Phone (509) 865-2500

Hospital & facility affiliations

  • Legacy Salmon Creek Medical Center Hospital, Vancouver, WA, CCN 500150
  • Astria Sunnyside Hospital Hospital, Sunnyside, WA, CCN 501330
  • Astria Toppenish Hospital Hospital, Toppenish, WA, CCN 500037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A116569IAMDFamily Nurse Practitioner
202109248NP-PPORMDFamily Nurse Practitioner
AP61539343WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Clinics LLC CurrentSince May 18, 2024 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Jul 17, 2025 Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Jan 3, 2012 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Legacy Clinics LLC CurrentSince May 18, 2024 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Jul 17, 2025 Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
SHC Medical Center Toppenish Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

1824 W 8th St
Cedar Falls, IA 50613
Phone (319) 277-0990

500 Pinehaven Dr
Monticello, IA 52310
Phone (319) 465-5415

8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363

1753 W Ridgeway Ave
Ste 107
Waterloo, IA 50701
Phone (319) 833-5907

2850 SE Powell Valley Rd
Gresham, OR 97080
Phone (503) 666-5050

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

21900 Willamette Dr
Ste 209
West Linn, OR 97068
Phone (971) 274-0038

1000 SE Tech Center Dr
Ste 120
Vancouver, WA 98683
Phone (360) 260-2773

13009 NE Highway 99
Ste 109
Vancouver, WA 98686
Phone (360) 667-5840

200 NE Mother Joseph Pl
Ste 410
Vancouver, WA 98664
Phone (503) 413-3580

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

305 SE Chkalov Dr
Ste 170
Vancouver, WA 98683
Phone (360) 799-3912

Interoperability endpoints

  • Direct secure messaging: tkaiser108373@direct.unitypoint.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

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": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1164721981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 W 8TH ST",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132056",
            "telephone_number": "319-277-0991",
            "fax_number": "319-266-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 AHTANUM RIDGE DR",
            "city": "UNION GAP",
            "state": "WA",
            "postal_code": "989031839",
            "telephone_number": "509-454-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1824 W 8th St",
            "address_purpose": "LOCATION",
            "city": "Cedar Falls",
            "state": "IA",
            "postal_code": "506132056",
            "country_code": "US",
            "telephone_number": "319-277-0991",
            "fax_number": "319-266-5452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAISER",
        "first_name": "TARA",
        "middle_name": "LYNN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-18",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A116569",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202109248NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61539343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union Gap, WA

Sources for this page

Verify at the official NPI Registry.