Individual provider Active NPI

Tanner Heiman, PA-C

  • Physician Assistant
  • Richland, WA
National Provider Identifier
1184499766
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
648 Saint St
Richland, WA 99354-1838
Phone
(509) 628-6128
NPI assigned
Nov 24, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

648 Saint St
Richland, WA 99354-1838

Mailing address

PO Box 31001
Pasadena, CA 91110-4141
Phone (888) 227-3312

Other practice location 1

1601 George Washington Way
Richland, WA 99354-2626
Phone (888) 227-3312

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
I20241017001063 WA Practitioner - Physician Assistant 4284166018 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Three Rivers Urgent Care LLCGroup PAC ID 3577921881, 8 clinicians

Practice addresses (Care Compare)

1507 Bombing Range Rd
Suite a
West Richland, WA 99353-8001
Phone (509) 396-0803

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Three Rivers Urgent Care LLC CurrentSince Mar 1, 2026 Accepting new patients

Locations

945 Goethals Dr
Ste 300
Richland, WA 99352
Phone (509) 943-3196

1507 Bombing Range Rd
#A
West Richland, WA 99353
Phone (509) 396-0803

Organizations & group practices 4

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": "1700784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1184499766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911104141",
            "telephone_number": "888-227-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 SAINT ST",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993541838",
            "telephone_number": "509-628-6128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 George Washington Way",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993542626",
            "country_code": "US",
            "telephone_number": "888-227-3312",
            "fax_number": "506-622-2707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEIMAN",
        "first_name": "TANNER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-24",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.