Tareylon Symone Ancrum

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN61593757 Issued in WA

Practice address

614 Division St # Ms 33
Port Orchard, WA 98366-4614

Phone

(360) 337-7116

NPI assigned

Aug 6, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1063397305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 S MASON AVE APT A206",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984098526",
            "telephone_number": "757-371-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 DIVISION ST # MS 33",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983664614",
            "telephone_number": "360-337-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANCRUM",
        "first_name": "TAREYLON",
        "middle_name": "SYMONE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN61593757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle E. Alger, LH
• Allan N. Weissman, M.D.
• Skye Allen, LMHCA
• Alliance Support Solutions
• American Pika Healthcare LLC
• Cassandra Andersen, L.M.P.
• Jade Lee Anderson
• Mark Ian Anderson, M.D.
• Andrew J. Tellington DMD, P.C.
• Cynthia Alina Anno, LMT

• Registered Nurse in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.