Amy Tierra, ARNP, NP-C, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP60331561 Issued in WA

Practice address

1103 Cleveland Ave
Mount Vernon, WA 98273-4215

Phone

(260) 336-6868

Fax

(360) 336-6866

NPI assigned

Jan 14, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Plumas District HospitalGroup PAC ID 8224930466, shared by 4 NPIs, 40 clinicians

Providence Health and Services- WashingtonGroup PAC ID 8325100480, 527 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22351/brand/1/csg/1/fhir/r4

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.

• Providence Health & Services- Washington

  • General Practice Physician
  • Everett, WA
  • NPI 1124270715
  Medicare reassignment Care Compare group NPD
• PPM Washington LLC

  • Multi-Specialty Clinic/Center
  • Clarkston, WA
  • NPI 1568119204
  Medicare reassignment NPD
• Shifa Health PLLC

  • Cognitive & Behavioral Psychologist
  • Mount Vernon, WA
  • NPI 1356415327
  Medicare reassignment NPD
• Copilotiq, PC

  • Family Medicine Physician
  • Nashville, TN
  • NPI 1316527203

  WA

  Medicare reassignment NPD
• Providence Health & Services-Washington

  • Cardiovascular Disease Physician
  • Everett, WA
  • NPI 1508000449
  NPD

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1053658724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 CLEVELAND AVE",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982734215",
            "telephone_number": "360-336-6868",
            "fax_number": "360-338-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 CLEVELAND AVE",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982734215",
            "telephone_number": "260-336-6868",
            "fax_number": "360-336-6866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "522 W Riverside Ave Ste N",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992010580",
            "country_code": "US",
            "telephone_number": "425-367-5173 x100",
            "fax_number": "425-364-7002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIERRA",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "ARNP, NP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP 60331561",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60331561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Thomas
• Christopher T Thompson, DDS
• Stanley Kenneth Thompson, CRNA
• Jane Elizabeth Thornton, LH 613075778
• Thrifty Payless Inc
• Timothy J. Marker, D.D.S., P.C.
• Todd T Cooley DDS
• William W Todd, CPC
• Ryan David Toering, PA-C
• Dawnell Tokarchuk, PTA

• Psychiatric/Mental Health Nurse Practitioner in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.