NPIMap

Individual provider Active NPI

Cheyenne Lorin Hardy, PA-C

  • Physician Assistant
  • Olympia, WA
National Provider Identifier
1902535180
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61412070 Issued in WA
Practice address
141 Lilly Rd NE
Olympia, WA 98506-5028
Phone
(360) 413-8880
Fax
(360) 810-3697
NPI assigned
Jun 6, 2022
Last updated
May 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA61412070 WA Primary
Medical Physician Assistant 363AM0700X PENDING NE

Addresses

Primary practice location

141 Lilly Rd NE
Olympia, WA 98506-5028

Mailing address

PO Box 749495
Atlanta, GA 30374-9495
Phone (239) 432-8331

Other practice location 1

4004 Pioneer Woods Dr
Lincoln, NE 68506-7548
Phone (402) 484-4900

Other practice location 2

4001 Pioneer Woods Dr
Lincoln, NE 68506-7547
Phone (402) 484-4900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cheyenne.hardy@neb.ikm.direct-ci.com Direct Nebraska Hematology-Oncology, PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230619000540 WA Practitioner - Physician Assistant 1850773839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Oncology Partners PAGroup PAC ID 0042569758, 377 clinicians

Practice addresses (Care Compare)

141 Lilly Rd NE
Olympia, WA 98506-5028
Phone (360) 413-8880

420 McPhee Rd SW
Suite a
Olympia, WA 98502-4070
Phone (360) 352-9200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2779NEMDMental Health Counselor
PA61412070WAMDPhysician Assistant
PENDINGNEMDCertified Registered Nurse Anesthetist

Interoperability endpoints

  • Direct secure messaging: cheyenne.hardy@neb.ikm.direct-ci.com

Organizations & group practices 1

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.

Hospital & facility affiliations 8

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": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1902535180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749495",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749495",
            "telephone_number": "239-432-8331",
            "fax_number": "813-321-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 LILLY RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065028",
            "telephone_number": "360-413-8880",
            "fax_number": "360-810-3697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4004 Pioneer Woods Dr",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685067548",
            "country_code": "US",
            "telephone_number": "402-484-4900",
            "fax_number": "402-484-6456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4001 Pioneer Woods Dr",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685067547",
            "country_code": "US",
            "telephone_number": "402-484-4900",
            "fax_number": "402-484-6456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDY",
        "first_name": "CHEYENNE",
        "middle_name": "LORIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61412070",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "PENDING",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cheyenne.hardy@neb.ikm.direct-ci.com",
            "affiliation": "Y",
            "endpointDescription": "EHR",
            "affiliationName": "Nebraska Hematology-Oncology, PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4004 Pioneer Woods Dr",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685067548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.