Individual provider Active NPI

Anna T Dufault, MD

  • Obstetrics & Gynecology Physician
  • Yakima, WA
National Provider Identifier
1962448894
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD00046611 Issued in WA
Practice address
3003 Tieton Dr
Suite 240
Yakima, WA 98902-3679
Phone
(509) 453-7109
Fax
(509) 453-3659
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD00046611 WA Primary

Addresses

Primary practice location

3003 Tieton Dr
Suite 240
Yakima, WA 98902-3679

Mailing address

3003 Tieton Dr
Suite 240
Yakima, WA 98902-3679
Phone (509) 453-7109

Other identifiers 1

IdentifierTypeStateIssuer
8457210MedicaidWA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061101000083 WA Practitioner - Obstetrics/Gynecology 0345247532 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Washington School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yakima Valley Memorial PhysiciansGroup PAC ID 1557391596, 397 clinicians

Practice addresses (Care Compare)

3003 Tieton Dr
Suite 230
Yakima, WA 98902-3684
Phone (509) 248-3440

Hospital & facility affiliations

  • Yakima Valley Memorial Hospital, Yakima, WA, CCN 500036

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00046611WAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Washington, PC Obstetrics & Gynecology CurrentSince May 26, 2025 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Sep 2, 2018 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Sep 2, 2018 Accepting new patients
Yakima Valley Memorial Hospital Association Past Accepting new patients
Roger B. Rowles, MD Obstetrics & Gynecology Past Accepting new patients

Locations

1800 NW Myhre Rd
Silverdale, WA 98383
Phone (360) 337-8800

3003 Tieton Dr
Ste 240
Yakima, WA 98902
Phone (509) 453-7109

2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210

3003 Tieton Dr
Ste 230
Yakima, WA 98902
Phone (509) 248-3440

Interoperability endpoints

  • Direct secure messaging: adufault82090@direct.multicare.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/ef853cc1-94e4-4ed7-883a-9be7485e458e/

Organizations & group practices 5

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 1

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1962448894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 TIETON DR",
            "address_2": "SUITE 240",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023679",
            "telephone_number": "509-453-7109",
            "fax_number": "509-453-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 TIETON DR",
            "address_2": "SUITE 240",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023679",
            "telephone_number": "509-453-7109",
            "fax_number": "509-453-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFAULT",
        "first_name": "ANNA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD00046611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8457210",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.