NPIMap

Individual provider Active NPI

Tessa Jett Klinkhardt, M.D.

  • Internal Medicine Physician
  • Tacoma, WA
National Provider Identifier
1912279902
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
61015827 Issued in WA
Practice address
3124 S 19TH St Ste 240
Tacoma, WA 98405-2433
Phone
(253) 792-6111
Fax
(253) 459-6110
NPI assigned
Feb 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 61015827 WA Primary

Addresses

Primary practice location

3124 S 19TH St Ste 240
Tacoma, WA 98405-2433

Mailing address

3124 S 19TH St Ste 240
Tacoma, WA 98405-2433
Phone (253) 279-2611

Other practice location 1

800 5th Ave # 101-748
Seattle, WA 98104-3176
Phone (844) 644-4325

Other practice location 2

9040 Fitzsimmons Dr
Joint Base Lewis McChord, WA 98431-1000
Phone (253) 968-0208

Other practice location 3

528 Palisades Dr
Pacific Palisades, CA 90272-2844
Phone (844) 644-4325

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
I20200601003168 WA Practitioner - Internal Medicine 7810128261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Missouri, Kansas City, School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

311 S L St
Tacoma, WA 98405-3720

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

Hospital & facility affiliations

  • Multicare Good Samaritan Home Health Home health agency, Tacoma, WA, CCN 507046
  • Assured Home Health Home health agency, Mountlake Terrace, WA, CCN 507099
  • Signature Healthcare at Home Home health agency, Federal Way, WA, CCN 507110
  • Centerwell Home Health Home health agency, Tacoma, WA, CCN 507031
  • Puget Sound Home Health Home health agency, Tacoma, WA, CCN 507101
  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129
  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108
  • Multicare Good Samaritan Hospital Hospital, Puyallup, WA, CCN 500079

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61015827WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Jun 3, 2023 Accepting new patients
Multicare Health System Internal Medicine CurrentSince Jun 3, 2023 Accepting new patients
Multicare Health System Past Accepting new patients
Heal Doctors Ihwa, P.C. Internal Medicine Past Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

3124 S 19th St
Ste 240
Tacoma, WA 98405
Phone (253) 301-5100

3124 S 19th St
Ste C240
Tacoma, WA 98405
Phone (253) 792-6111

Interoperability endpoints

  • Direct secure messaging: tklinkhardt724688@direct.multicare.org

Organizations & group practices 6

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 10

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": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1912279902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 S 19TH ST STE 240",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052433",
            "telephone_number": "253-279-2611",
            "fax_number": "253-459-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 S 19TH ST STE 240",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052433",
            "telephone_number": "253-792-6111",
            "fax_number": "253-459-6110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 5th Ave # 101-748",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981043176",
            "country_code": "US",
            "telephone_number": "844-644-4325",
            "fax_number": "424-625-0010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9040 Fitzsimmons Dr",
            "address_purpose": "LOCATION",
            "city": "Joint Base Lewis McChord",
            "state": "WA",
            "postal_code": "984311000",
            "country_code": "US",
            "telephone_number": "253-968-0208",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "528 Palisades Dr",
            "address_purpose": "LOCATION",
            "city": "Pacific Palisades",
            "state": "CA",
            "postal_code": "902722844",
            "country_code": "US",
            "telephone_number": "844-644-4325",
            "fax_number": "424-625-0010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLINKHARDT",
        "first_name": "TESSA",
        "middle_name": "JETT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-06",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "61015827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.