Individual provider Active NPI

Tammy Ann Winchell, A.R.N.P

  • Pediatric Nurse Practitioner
  • Mill Valley, CA
National Provider Identifier
1679673347
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP30007401 Issued in WA
Practice address
750 Redwood Hwy Frontage Rd Ste 1204
Mill Valley, CA 94941-2483
Phone
(415) 384-4778
Fax
(415) 384-4779
NPI assigned
Sep 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X NP95000700 CA
Pediatric Nurse Practitioner 363LP0200X 201150050NP OR
Pediatric Nurse Practitioner 363LP0200X AP30007401 WA Primary

Addresses

Primary practice location

750 Redwood Hwy Frontage Rd Ste 1204
Mill Valley, CA 94941-2483

Mailing address

700 NE 87TH Ave Ste 110
Vancouver, WA 98664-4896

Other practice location 1

1201 W La Veta Ave
Orange, CA 92868-4203
Phone (714) 509-7601

Other practice location 2

1201 W La Veta Ave
Orange, CA 92868-4203
Phone (714) 509-7601

Other names 1

  • Tammy Ann Herschler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131014000864 OR Practitioner - Nurse Practitioner 6406080027 Reassigns benefits to 2 organizations
I20200413000925 WA Practitioner - Nurse Practitioner 6406080027 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95032240CAMDAcute Care Nurse Practitioner
NP95000700CAMDPediatric Nurse Practitioner
AP30007401WAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Acute Care Specialists PC CurrentSince Jan 1, 2020 Accepting new patients
Northwest Acute Care Specialists PC CurrentSince Jan 1, 2020 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Nov 20, 2023 Accepting new patients
The Vancouver Clinic Inc PS CurrentSince Jul 8, 2025 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Nov 20, 2023 Accepting new patients
The Vancouver Clinic Inc PS Current Accepting new patients
The Vancouver Clinic Inc PS CurrentSince Jul 8, 2025 Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
The Vancouver Clinic Pharmacy Past Accepting new patients

Locations

1960 NW 167th Pl
Ste 103
Beaverton, OR 97006
Phone (503) 466-1823

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

700 NE 87th Ave
Ste 110
Vancouver, WA 98664
Phone (360) 397-2534

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500

Interoperability endpoints

  • Direct secure messaging: twinchell26859@tvc-direct.org

Organizations & group practices 9

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": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1679673347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NE 87TH AVE STE 110",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986644896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 REDWOOD HWY FRONTAGE RD STE 1204",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412483",
            "telephone_number": "415-384-4778",
            "fax_number": "415-384-4779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 W La Veta Ave",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928684203",
            "country_code": "US",
            "telephone_number": "714-509-7601",
            "fax_number": "714-509-7650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 W La Veta Ave",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928684203",
            "country_code": "US",
            "telephone_number": "714-509-7601",
            "fax_number": "714-509-7650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINCHELL",
        "first_name": "TAMMY",
        "middle_name": "ANN",
        "credential": "A.R.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-23",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "NP95000700",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OR",
            "license": "201150050NP",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WA",
            "license": "AP30007401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "HERSCHLER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mill Valley, CA

Sources for this page

Verify at the official NPI Registry.