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

Heidi A Tate, PA-C

Individual provider Medical Physician Assistant · NPI 1245568864

Heidi A Tate, PA-C is a Physician Assistant in Mountlake Terrace, Washington. Qualified in 2009, 17 years ago. Accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
17
Licensed in
OR, WA
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

24360 Van Ry Blvd Ste 111
Mountlake Terrace, WA 98043-5457
Phone: (206) 520-5000
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60107657 (WA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA170945 (OR)

Record details

NPI number1245568864
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 19, 2009
Last updated in NPPESApril 9, 2024
Certification dateApril 9, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mountlake Terrace