Individual provider Active NPI

Byron Hunter Tatsch, NP-C

  • Gerontology Nurse Practitioner
  • Spokane Valley, WA
National Provider Identifier
1649932948
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP61202171 Issued in WA
Practice address
1414 N Vercler Rd Ste 5
Spokane Valley, WA 99216-1092
Phone
(509) 381-4500
Fax
(509) 381-4501
NPI assigned
Oct 13, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP61202171 WA Primary

Addresses

Primary practice location

1414 N Vercler Rd Ste 5
Spokane Valley, WA 99216-1092

Mailing address

801 SW 16TH St Ste 121
Renton, WA 98057-2628
Phone (206) 538-6300

Other practice location 1

412 W Auburn Crest Ct
Spokane, WA 99224-8534
Phone (831) 238-8576

Other identifiers 1

IdentifierTypeStateIssuer
2195171MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL byron.tatsch@yale.edu Direct

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
I20211115001666 WA Practitioner - Nurse Practitioner 3274922141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pain Care Physicians PLLCGroup PAC ID 9537448931, 13 clinicians

Practice addresses (Care Compare)

1415 N Houk Rd
Spokane Valley, WA 99216-1043

3305 Nassau St
Suite B
Everett, WA 98201-4140
Phone (206) 538-6300

801 SW 16TH St
Suite 121
Renton, WA 98057-2628
Phone (206) 538-6300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Care Physicians PLLC CurrentSince Oct 28, 2021 Accepting new patients
Pain Care Physicians PLLC Past Accepting new patients

Locations

3305 Nassau St
Ste B
Everett, WA 98201

155 Lilly Rd NE
Ste A
Olympia, WA 98506
Phone (206) 895-1825

801 SW 16th St
Ste 121
Renton, WA 98057
Phone (206) 805-8885

1415 N Houk Rd
Ste C
Spokane Valley, WA 99216
Phone (509) 755-8842

1414 N Vercler Rd
Ste 5
Spokane Valley, WA 99216
Phone (509) 385-0302

1628 S Mildred St
Ste 102
Tacoma, WA 98465
Phone (206) 895-1825

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1649932948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SW 16TH ST STE 121",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572628",
            "telephone_number": "206-538-6300",
            "fax_number": "206-538-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 N VERCLER RD STE 5",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161092",
            "telephone_number": "509-381-4500",
            "fax_number": "509-381-4501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "412 W Auburn Crest Ct",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992248534",
            "country_code": "US",
            "telephone_number": "831-238-8576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATSCH",
        "first_name": "BYRON",
        "middle_name": "HUNTER",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-13",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "AP61202171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2195171",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "byron.tatsch@yale.edu",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "412 W Auburn Crest Ct",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992248534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.