Individual provider Active NPI

Tiffany Marie Graham, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bellingham, WA
National Provider Identifier
1134597727
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP60585245 Issued in WA
Practice address
4306 Academy St
Bellingham, WA 98226-4441
Phone
(206) 486-2917
Fax
(360) 594-0917
NPI assigned
Sep 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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 Nurse Practitioner 363LP0808X AP60585245 WA Primary
Family Nurse Practitioner 363LF0000X AP60585245 WA

Addresses

Primary practice location

4306 Academy St
Bellingham, WA 98226-4441

Mailing address

4306 Academy St
Bellingham, WA 98226-4441
Phone (206) 486-2917

Other practice location 1

1106 Harris Ave Ste 311
Bellingham, WA 98225-7002
Phone (206) 486-2917

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
I20170717002432 WA Practitioner - Nurse Practitioner 2668742115 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP60585245WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Puget Sound Gastroenterology, PLLC CurrentSince Aug 7, 2017 Accepting new patients
Puget Sound Gastroenterology, PLLC Current Accepting new patients
Puget Sound Gastroenterology, PLLC CurrentSince Aug 7, 2017 Accepting new patients
Cellnetix Pathology, PLLC Past Accepting new patients

Locations

21600 Highway 99
Ste 260
Edmonds, WA 98026
Phone (425) 774-2650

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

19000 33rd Ave W
Ste 230
Lynnwood, WA 98036
Phone (425) 686-7138

16504 9th Ave SE
Ste 201
Mill Creek, WA 98012
Phone (425) 686-7138

Interoperability endpoints

  • FHIR API: https://7e6d65ac-543a-4d66-acb8-36b51c8c951c.gastro.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1442102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1134597727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306 ACADEMY ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982264441",
            "telephone_number": "206-486-2917",
            "fax_number": "360-594-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 ACADEMY ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982264441",
            "telephone_number": "206-486-2917",
            "fax_number": "360-594-0917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1106 Harris Ave Ste 311",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982257002",
            "country_code": "US",
            "telephone_number": "206-486-2917",
            "fax_number": "360-594-0917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "TIFFANY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-13",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60585245",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60585245",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.