Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Caroline Emma Heidbreder, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1487020830

Caroline Emma Heidbreder, PHYSICIANASSISTANT is a Physician Assistant in Tacoma, Washington. Qualified in 2015, 11 years ago. Practices with Cmn Industries, a 3-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
11
Licensed in
WA
In the registry since
2015

Practice location Address checks out

5005 Main St Ste 125
Tacoma, WA 98407-3168
Phone: (253) 759-4522
Fax: (253) 759-4699
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60587067 (WA)

Record details

NPI number1487020830
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedAugust 19, 2015
Last updated in NPPESAugust 19, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Cmn Industries — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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