Active NPI
Catherine A Hartjoy, PAC
- Physician Assistant
- Tacoma, WA
National Provider Identifier
1275520066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- OA10000230
- Practice address
- 1802 S Union Ave
Ste 200
Tacoma, WA 98405-1947 - Phone
- (253) 752-6965
- Fax
- (253) 759-6056
- NPI assigned
- Oct 5, 2005
- Last updated
- Oct 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | OA10000230 | WA | Primary |
| Medical Physician Assistant | 363AM0700X | PA60895931 | WA |
Addresses
Primary practice location
1802 S Union Ave
Ste 200
Tacoma, WA 98405-1947
Mailing address
1802 S Union Ave
Ste 200
Tacoma, WA 98405-1947
Phone (253) 752-6965
Other practice location 1
305 N River Ave
Buckley, WA 98321-8978
Phone (360) 829-0625
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0200260 | Other | WA | LABOR & INDUSTRIES |
| 6450ST | Other | WA | REGENCE BCBS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
305 N River Ave
Buckley, WA 98321-8978
Phone (360) 829-0625
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OA10000230 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David L. Lukens,D.O.,P.S. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Buckley, WA
- NPI 1649394800
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1265765309
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Joseph Lab PAC LAB
- Clinical Medical Laboratory
- Tacoma, WA
- NPI 1659585370
Hospital
-
dba St Joseph Medical Center
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
-
dba St. Elizabeth Hospital
- Critical Access Hospital
- Enumclaw, WA
- NPI 1073674040
-
dba St Joseph Medical Center
- General Acute Care Hospital
- Tacoma, WA
- NPI 1124291117
-
dba Tacoma General Allenmore
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539302400000",
"number": "1275520066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 S UNION AVE",
"address_2": "STE 200",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051947",
"telephone_number": "253-752-6965",
"fax_number": "253-759-6056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 S UNION AVE",
"address_2": "STE 200",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051947",
"telephone_number": "253-752-6965",
"fax_number": "253-759-6056"
}
],
"practiceLocations": [
{
"address_1": "305 N River Ave",
"address_purpose": "LOCATION",
"city": "Buckley",
"state": "WA",
"postal_code": "983218978",
"country_code": "US",
"telephone_number": "360-829-0625",
"fax_number": "360-829-9860",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARTJOY",
"first_name": "CATHERINE",
"middle_name": "A",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-05",
"last_updated": "2018-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "OA10000230",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA60895931",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "0200260",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BCBS",
"identifier": "6450ST",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.