Individual provider Active NPI

Irene Chege, PA-C

  • Physician Assistant
  • Tacoma, WA
National Provider Identifier
1871995191
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60616666 Issued in WA
Practice address
1812 S J St Ste 120
Tacoma, WA 98405-4965
Phone
(253) 428-2200
NPI assigned
Sep 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60616666 WA Primary

Addresses

Primary practice location

1812 S J St Ste 120
Tacoma, WA 98405-4965

Mailing address

1812 S J St Ste 120
Tacoma, WA 98405-4965
Phone (253) 428-2200

Other identifiers 1

IdentifierTypeStateIssuer
2054703MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ichege10997@fhsce.catholichealth.net 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
I20160301002689 WA Practitioner - Physician Assistant 2567767429 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA60616666WAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: ichege10997@fhsce.catholichealth.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1871995191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 S J ST STE 120",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054965",
            "telephone_number": "253-428-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 S J ST STE 120",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054965",
            "telephone_number": "253-428-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEGE",
        "first_name": "IRENE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-17",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60616666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2054703",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ichege10997@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1812 S J St Ste 120",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984054965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.