Individual provider Active NPI

Brooke Hayes

  • Physician Assistant
  • Kennewick, WA
National Provider Identifier
1962184408
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61600840 Issued in WA
Practice address
7426 W Bonnie PL
Kennewick, WA 99336-1124
Phone
(866) 904-7721
Fax
(509) 248-3644
NPI assigned
Aug 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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 PA61600840 WA Primary

Addresses

Primary practice location

7426 W Bonnie PL
Kennewick, WA 99336-1124

Mailing address

7426 W Bonnie PL
Kennewick, WA 99336-1124
Phone (866) 904-7721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4605 Rd
Suite 68
Pasco, WA 99301

8919 W Canyon PL
Kennewick, WA 99336-7961

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA61600840WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of Greater Washington & North Idaho Past Accepting new patients
Planned Parenthood of Greater Washington & North Idaho Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: brooke.hayes.1@13077.direct.athenahealth.com

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": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1962184408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7426 W BONNIE PL",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361124",
            "telephone_number": "866-904-7721",
            "fax_number": "509-248-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7426 W BONNIE PL",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361124",
            "telephone_number": "866-904-7721",
            "fax_number": "509-248-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61600840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.