Tei Habenicht, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA10004580 Issued in WA

Practice address

4409 NW Anderson Hill Rd
Silverdale, WA 98383-6807

Phone

(360) 698-6630

Fax

(360) 398-7002

NPI assigned

Nov 22, 2006

Last updated

Apr 4, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

Practice roles

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.

• Westsound Orthopaedics, PS

  • Orthopaedic Surgery Physician
  • Silverdale, WA
  • NPI 1104923655
  NPD (past)
• St Joseph Physician Associates

  • Neurological Surgery Physician
  • Bryan, TX
  • NPI 1851405039
  NPD (past)
• Sypert Institute PA

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Cape Coral, FL
  • NPI 1104889534
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1689749624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4409 NW ANDERSON HILL RD",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983836807",
            "telephone_number": "360-698-6630",
            "fax_number": "360-398-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4409 NW ANDERSON HILL RD",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983836807",
            "telephone_number": "360-698-6630",
            "fax_number": "360-398-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABENICHT",
        "first_name": "TEI",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "PA10004580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1037226",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0277669",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rishabh Gulati, MD
• James A. Gunderson, LICSW,MSW,ACSW
• Taylor Guyton, RBT
• Gerald Grant Gwin Jr., LMP
• Michael Alan Gwinn, IDC
• Amye M Hadley, ND, ARNP
• Kelly R Hadley, LICSW
• Brittany Irene Hageman, MA, CCC-SLP
• Rodney Steven Hagerman, DO, MPH
• Khaliliah Hagwood

• Surgical Physician Assistant in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Surgical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.