Individual provider Active NPI

Tiffany Marie Noone, FNP

  • Family Nurse Practitioner
  • Corvallis, OR
National Provider Identifier
1093314122
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
202009630NP-PP Issued in OR
Practice address
1318 NW 9TH St Ste B
Corvallis, OR 97330-4565
Phone
(877) 522-1275
Fax
(833) 888-7145
NPI assigned
Oct 20, 2020
Last updated
Nov 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 202009630NP-PP OR Primary

Addresses

Primary practice location

1318 NW 9TH St Ste B
Corvallis, OR 97330-4565

Mailing address

4010 Aerial Way
Eugene, OR 97402-9757
Phone (541) 515-1396

Other practice location 1

4010 Aerial Way
Eugene, OR 97402-9757
Phone (541) 242-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201116000833 OR Practitioner - Nurse Practitioner 6103237508 Reassigns benefits to 3 organizations
I20230517002985 WA Practitioner - Nurse Practitioner 6103237508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ideal Telemedicine Services LLCGroup PAC ID 2860726221, 47 clinicians
Ideal Option PLLCGroup PAC ID 6709013105, 90 clinicians

Practice addresses (Care Compare)

1318 NW 9TH St
Suite B
Corvallis, OR 97330-4565
Phone (877) 522-1275

8508 W Gage Blvd
Suite A101
Kennewick, WA 99336-8106
Phone (509) 222-1275

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202009630NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince Jan 3, 2021 Accepting new patients
Peacehealth CurrentSince Jan 3, 2021 Accepting new patients
Ideal Telemedicine Services, LLC CurrentSince Jul 1, 2022 Accepting new patients
Ideal Option, PLLC CurrentSince Jul 1, 2022 Accepting new patients
Ideal Option, PLLC Current Accepting new patients
Ideal Option, PLLC Current Accepting new patients
Ideal Option, PLLC PastSince Sep 3, 2025 Accepting new patients
Ideal Telemedicine Services, LLC Past Accepting new patients

Locations (25 of 41)

231 Lyon St SE
Albany, OR 97321
Phone (541) 791-3411

404 NE Penn Ave
Bend, OR 97701
Phone (541) 318-7041

1318 NW 9th St
Ste B
Corvallis, OR 97330

401 E 10th Ave
Ste 330
Eugene, OR 97401
Phone (541) 344-6929

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

545 SE Oak St
Ste D
Hillsboro, OR 97123
Phone (503) 640-1614

158 W Olive St
Newport, OR 97365
Phone (541) 248-2634

863 Liberty St NE
Salem, OR 97301
Phone (503) 399-5597

3831 Main St
Ste 108
Springfield, OR 97478
Phone (541) 746-4468

16410 Smokey Point Blvd
Ste 101
Arlington, WA 98223
Phone (360) 653-8711

1811 Howard Rd
Ste 101
Auburn, WA 98002

1215 120th Ave NE
Ste 201
Bellevue, WA 98005
Phone (425) 248-4200

3800 Byron Ave
Ste 116
Bellingham, WA 98229
Phone (509) 416-0253

3800 Byron Ave
Ste 122
Bellingham, WA 98229

667 Grant Rd
Ste 3
East Wenatchee, WA 98802
Phone (509) 860-6530

7315 212th St SW
Ste 201
Edmonds, WA 98026
Phone (425) 778-8116

4301 Hoyt Ave
Everett, WA 98203
Phone (425) 317-8025

8508 W Gage Blvd
Ste A101
Kennewick, WA 99336
Phone 8775221275 ext. 3049

8514 W Gage Blvd
Ste G
Kennewick, WA 99336
Phone 50922212756

1146 14th Ave
Longview, WA 98632

1617 Grove St
Marysville, WA 98270
Phone (360) 356-6533

101 E Main St
Ste 201
Monroe, WA 98272
Phone (360) 863-0642

1520 Parker Way
Mount Vernon, WA 98273

1800 Cooper Point Rd SW
Ste 4
Olympia, WA 98502
Phone 87752212783049

5615 Dunbarton Ave
Pasco, WA 99301
Phone 50922212752123

Interoperability endpoints

  • Direct secure messaging: tnoone8946@direct.peacehealth.org

Organizations & group practices 8

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": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1093314122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 AERIAL WAY",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974029757",
            "telephone_number": "541-515-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 NW 9TH ST STE B",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304565",
            "telephone_number": "877-522-1275",
            "fax_number": "833-888-7145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4010 Aerial Way",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974029757",
            "country_code": "US",
            "telephone_number": "541-242-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOONE",
        "first_name": "TIFFANY",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202009630NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.