Active NPI
Tiffany Elizabeth Gallucci, NP-C
- Adult Health Nurse Practitioner
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP6168859
- Practice address
- 209 Martin Luther King Jr Way
Tacoma, WA 98405-4267 - Phone
- (253) 596-3300
- Fax
- (253) 383-6106
- NPI assigned
- Nov 6, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 3012589 | KY | |
| Adult Health Nurse Practitioner | 363LA2200X | AP6168859 | WA | Primary |
Addresses
Primary practice location
209 Martin Luther King Jr Way
Tacoma, WA 98405-4267
Mailing address
209 Martin Luther King Jr Way
Tacoma, WA 98405-4267
Phone (253) 596-3300
Other practice location 1
4915 Norton Healthcare Boulevard
Louisville, KS 40241
Phone (502) 629-1234
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, NY, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
209 Martin Luther King Jr Way
Tacoma, WA 98405-4265
Phone (253) 596-3300
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.07 of 100
- Quality
- 57.91
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 80.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3012589 | KY | MD | Adult Health Nurse Practitioner |
| AP6168859 | WA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Norton Hospitals, Inc | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Norton Hospitals Inc | Current | Accepting new patients | |
| North Shore Health System Medical Faculty Group Practice Inc | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Adult Health | Current | Accepting new patients |
Locations
315 E Broadway
Fl 4
Louisville, KY 40202
Phone (502) 272-5165
825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165
4915 Norton Healthcare Blvd
Louisville, KY 40241
Phone (502) 446-6611
315 E Broadway
Louisville, KY 40202
Phone (502) 272-5331
1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650
450 Lakeville Rd
North New Hyde Park, NY 11042
Phone (516) 321-3000
27005 76th Ave
North New Hyde Pk, NY 11040
9525 Queens Blvd
Ste B
Rego Park, NY 11374
Phone (718) 925-6200
200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530
209 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 596-3300
9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- tgallucci152169@direct.nortonhealthcare.org
Organizations & group practices 9
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.
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1306983762
Adult Health
-
- Hematology & Oncology Physician
- New Hyde Park, NY
- NPI 1003409061
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1073568879
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1669619870
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
-
- Physician Assistant
- Louisville, KY
- NPI 1902264377
-
- Pain Medicine Physician
- Louisville, KY
- NPI 1548152242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755734400000",
"number": "1164990396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 MARTIN LUTHER KING JR WAY",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054267",
"telephone_number": "253-596-3300",
"fax_number": "253-383-6106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 MARTIN LUTHER KING JR WAY",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054267",
"telephone_number": "253-596-3300",
"fax_number": "253-383-6106"
}
],
"practiceLocations": [
{
"address_1": "4915 Norton Healthcare Boulevard",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KS",
"postal_code": "40241",
"country_code": "US",
"telephone_number": "502-629-1234",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALLUCCI",
"first_name": "TIFFANY",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-06",
"last_updated": "2025-08-21",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "KY",
"license": "3012589",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WA",
"license": "AP6168859",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "209 Martin Luther King Jr Way",
"city": "Tacoma",
"state": "WA",
"country_code": "US",
"postal_code": "984054267",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 21, 2025; 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.