Individual provider Active NPI

Heather Tacheny

  • Family Medicine Physician
  • Walla Walla, WA
National Provider Identifier
1851354849
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00041684 Issued in WA
Practice address
1120 W Rose St
Walla Walla, WA 99362-1662
Phone
(509) 525-6650
Fax
(509) 522-2349
NPI assigned
Apr 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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 MD00041684 WA Primary

Addresses

Primary practice location

1120 W Rose St
Walla Walla, WA 99362-1662

Mailing address

1120 W Rose St
Walla Walla, WA 99362-1662
Phone (509) 525-6650

Other identifiers 2

IdentifierTypeStateIssuer
G8912129OtherWAMEDICARE
1851354849MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address htacheny4922@yvfwc.direct-ci.com 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121114000583 WA Practitioner - Family Practice 5597838854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yakima Valley Farm Workers ClinicGroup PAC ID 4385541986, 274 clinicians

Practice addresses (Care Compare)

1120 W Rose St
Walla Walla, WA 99362-1662
Phone (509) 525-6650

510 W 1St Ave
Toppenish, WA 98948-1564
Phone (509) 865-5600

Hospital & facility affiliations

  • Providence at Home With Compassus Home Health, Walla Walla Home health agency, Walla Walla, WA, CCN 507034
  • Columbia River Home Health Home health agency, Kennewick, WA, CCN 507061
  • Providence St Mary Medical Center Hospital, Walla Walla, WA, CCN 500002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00041684WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yakima Valley Farm Workers Clinic CurrentSince Sep 1, 2012 Accepting new patients
Yakima Valley Farm Workers Clinic Current Accepting new patients
Yakima Valley Farm Workers Clinic CurrentSince Sep 1, 2012 Accepting new patients

Locations

1608 Road 44
Pasco, WA 99301
Phone (509) 543-9280

713 Memorial St
Prosser, WA 99350
Phone (509) 786-1931

1120 W Rose St
Walla Walla, WA 99362
Phone (509) 525-6650

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 3

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1851354849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W ROSE ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993621662",
            "telephone_number": "509-525-6650",
            "fax_number": "509-522-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W ROSE ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993621662",
            "telephone_number": "509-525-6650",
            "fax_number": "509-522-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACHENY",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00041684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G8912129",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851354849",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "htacheny4922@yvfwc.direct-ci.com",
            "affiliation": "N",
            "endpointDescription": "YVFWC Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1120 W Rose St",
            "city": "Walla Walla",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993621662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Walla Walla, WA

Sources for this page

Verify at the official NPI Registry.