Individual provider Active NPI

Claire Tilley, DNP, MN

  • Psychiatric/Mental Health Nurse Practitioner
  • Olympia, WA
National Provider Identifier
1023432655
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP60451844 Issued in WA
Practice address
5231 Brassfield Dr SE
Olympia, WA 98501-4709
Phone
(781) 801-4521
Fax
(206) 385-4678
NPI assigned
Feb 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN60235841 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60451844 WA Primary

Addresses

Primary practice location

5231 Brassfield Dr SE
Olympia, WA 98501-4709

Mailing address

5231 Brassfield Dr SE
Olympia, WA 98501-4709
Phone (781) 801-4521

Other practice location 1

805 164th St SE
Suite # 101
Mill Creek, WA 98012-6316
Phone (425) 742-4600

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140519001488 WA Practitioner - Nurse Practitioner 9335362474 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5231 Brassfield Dr SE
Olympia, WA 98501-4709
Phone (206) 385-4677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60451844WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Psychiatry, PLLC Psychiatric/Mental Health CurrentSince Mar 1, 2022 Accepting new patients
Mindful Therapy Group PC Psychiatric/Mental Health CurrentSince Jun 1, 2015 Accepting new patients

Locations

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1023432655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5231 BRASSFIELD DR SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985014709",
            "telephone_number": "781-801-4521",
            "fax_number": "206-385-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5231 BRASSFIELD DR SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985014709",
            "telephone_number": "781-801-4521",
            "fax_number": "206-385-4678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 164th St SE",
            "address_2": "Suite # 101",
            "address_purpose": "LOCATION",
            "city": "Mill Creek",
            "state": "WA",
            "postal_code": "980126316",
            "country_code": "US",
            "telephone_number": "425-742-4600",
            "fax_number": "425-742-4633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILLEY",
        "first_name": "CLAIRE",
        "name_prefix": "Ms.",
        "credential": "DNP, MN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-18",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WA",
            "license": "RN60235841",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60451844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.