Individual provider Active NPI

Annika Chan Thach, FNP, DNP

  • Family Nurse Practitioner
  • Auburn, WA
National Provider Identifier
1679463871
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP70020287 Issued in WA
Practice address
205 10TH St NE
Auburn, WA 98002-4045
Phone
(253) 351-5300
Fax
(253) 351-5399
NPI assigned
Jul 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP70020287 WA Primary

Addresses

Primary practice location

205 10TH St NE
Auburn, WA 98002-4045

Mailing address

205 10TH St NE
Auburn, WA 98002-4045
Phone (253) 351-5300

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
I20251010000305 WA Practitioner - Nurse Practitioner 5294232658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

205 10TH St NE
Auburn, WA 98002-4019
Phone (253) 833-8032

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group CurrentSince Aug 15, 2025 Accepting new patients
Franciscan Medical Group PastSince Jul 1, 2025 Accepting new patients

Locations

205 10th St NE
Ste 200
Auburn, WA 98002
Phone (253) 351-5300

205 10th St NE
#8201
Auburn, WA 98002

205 10th St NE
Auburn, WA 98002
Phone (253) 351-5300

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

7210 40th St W
Ste 100
University Place, WA 98466
Phone (253) 564-0170

Interoperability endpoints

  • Direct secure messaging: athach249384@fhsce.catholichealth.net

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.

Hospital & facility affiliations 6

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": "1751932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1679463871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 10TH ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024045",
            "telephone_number": "253-351-5300",
            "fax_number": "253-351-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 10TH ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024045",
            "telephone_number": "253-351-5300",
            "fax_number": "253-351-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THACH",
        "first_name": "ANNIKA",
        "middle_name": "CHAN",
        "credential": "FNP, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP70020287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

Verify at the official NPI Registry.