NPIMap

Individual provider Active NPI

Tawna L Barck, PA

  • Medical Physician Assistant
  • Goldendale, WA
National Provider Identifier
1497158992
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
310 S Roosevelt
Goldendale, WA 98620
Phone
(509) 773-4022
NPI assigned
Sep 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

310 S Roosevelt
Goldendale, WA 98620

Mailing address

8904 NE 15TH Ave C25
Vancouver, WA 98665
Phone (907) 947-2866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150217001073 WA Practitioner - Physician Assistant 9739404682 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical Group 1,400 clinicians

Practice addresses (Care Compare)

1608 S J St
FL 5
Tacoma, WA 98405-4930
Phone (253) 274-7505

Hospital & facility affiliations

  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of Washington CurrentSince Apr 15, 2015 Accepting new patients
Franciscan Medical Group CurrentSince Apr 14, 2025 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Apr 15, 2015 Accepting new patients
Klickitat County Public Hospital District No 1 CurrentSince Jan 10, 2015 Accepting new patients
Franciscan Medical Group CurrentSince Apr 14, 2025 Accepting new patients
Franciscan Medical Group Past Accepting new patients

Locations

11511 Canterwood Blvd
Ste 205
Gig Harbor, WA 98332
Phone (253) 530-2663

317 Sanders Way
Goldendale, WA 98620
Phone (509) 773-4017

310 S Roosevelt St
Goldendale, WA 98620
Phone (509) 486-2151

450 S Kitsap Blvd
Ste 210
Port Orchard, WA 98366
Phone (360) 874-5900

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Interoperability endpoints

  • Direct secure messaging: tbarck156571@ghc.direct-ci.net
  • Direct secure messaging: tbarck500509@fhsce.catholichealth.net

Organizations & group practices 14

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 14

Hospital & facility affiliations 3

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": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1497158992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8904 NE 15TH AVE C25",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98665",
            "telephone_number": "907-947-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S ROOSEVELT",
            "city": "GOLDENDALE",
            "state": "WA",
            "postal_code": "98620",
            "telephone_number": "509-773-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARCK",
        "first_name": "TAWNA",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldendale, WA

Sources for this page

Verify at the official NPI Registry.