Zachary Tegen

Primary specialty

Cardiovascular Invasive Specialist/TechnologistTaxonomy code 246XC2901X

License

00118967 Issued in WA

Practice address

9040A Jackson Ave
Tacoma, WA 98431-0001

Phone

(253) 968-0088

NPI assigned

Nov 4, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1962003111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3123 HANNA DR NE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985167169",
            "telephone_number": "714-488-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040A JACKSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-968-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEGEN",
        "first_name": "ZACHARY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246XC2901X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Cardiovascular Invasive Specialist",
            "state": "WA",
            "license": "00118967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Raquel Teall
• Anna Tedder, M.S. CCC- SLP
• Finan Tedla, NP
• Cooper James Teed, LMT
• Angela Joyce Tefft, DNP, FNP-C, PMHNP-BC
• Tami Tegge
• Timothy Levi Teista, RN
• Telecare Mental Health Services of Washington, Inc
• Telecare Mental Health Services of Washington, Inc
• Telecare Mental Health Services of Washington, Inc

• Cardiovascular Invasive Specialist/Technologist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Cardiovascular Invasive Specialist/Technologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.