Individual provider Active NPI

Hannah Bernice Fadenrecht, DO

  • Family Medicine Physician
  • Tacoma, WA
National Provider Identifier
1629766811
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DOL.OL.61438768 Issued in WA
Practice address
2209 E 32ND St
Tacoma, WA 98404-4922
Phone
(253) 593-0232
Fax
(253) 441-2695
NPI assigned
Apr 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DOL.OL.61438768 WA Primary

Addresses

Primary practice location

2209 E 32ND St
Tacoma, WA 98404-4922

Mailing address

551 Wikiup Dr
Santa Rosa, CA 95403-1341
Phone (480) 375-8427

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260314000020 TX Practitioner - Family Practice 4981063211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
College of Osteo Med of the Pacific at Pomona, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 130
Dillingham, AK 99576

PO Box
Suite 130
Dillingham, AK 99576-0130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DOL.OL.61438768WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Bay Area Health Corporation CurrentSince Feb 26, 2026 Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Feb 26, 2026 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hannah.fadenrecht.p1@direct.puyalluptribalhealth.nextgenshare.com

Organizations & group practices 3

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": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1629766811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 WIKIUP DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031341",
            "telephone_number": "480-375-8427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 E 32ND ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984044922",
            "telephone_number": "253-593-0232",
            "fax_number": "253-441-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADENRECHT",
        "first_name": "HANNAH",
        "middle_name": "BERNICE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "DOL.OL.61438768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.