Active NPI
Tammi Lyn Phillips, RN60521239
- Registered Nurse
- Tacoma, WA
National Provider Identifier
1144898636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN60521239
- Practice address
- 3518 6TH Ave Ste 300
Tacoma, WA 98406-5419 - Phone
- (800) 628-7649
- NPI assigned
- Jun 11, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN60521239 | WA | Primary |
Addresses
Primary practice location
3518 6TH Ave Ste 300
Tacoma, WA 98406-5419
Mailing address
20807 229TH Ave SE
Maple Valley, WA 98038-8919
Phone (206) 856-8628
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60521239 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Villageplan Care Options, LLC | Past | Accepting new patients | |
| Sound Options, Inc | Past | Accepting new patients |
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.
-
- In Home Supportive Care Agency
- Tacoma, WA
- NPI 1366884645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623369600000",
"number": "1144898636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20807 229TH AVE SE",
"city": "MAPLE VALLEY",
"state": "WA",
"postal_code": "980388919",
"telephone_number": "206-856-8628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3518 6TH AVE STE 300",
"city": "TACOMA",
"state": "WA",
"postal_code": "984065419",
"telephone_number": "800-628-7649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "TAMMI",
"middle_name": "LYN",
"credential": "RN60521239",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-11",
"last_updated": "2021-06-11",
"certification_date": "2021-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60521239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.