Tiana Williams

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP61598579 Issued in WA

Practice address

20508 56TH Ave W
Lynnwood, WA 98036-7650

Phone

(425) 678-1390

NPI assigned

Dec 8, 2025

Last updated

Dec 8, 2025By the provider in NPPES

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

Practice roles

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.

• Evergreen Recovery Centers-Lynnwood Detox

  • Substance Abuse Rehabilitation Facility
  • Lynnwood, WA
  • NPI 1588184980
  NPD (past)

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1225991193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 134TH ST SE APT 202",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980124316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20508 56TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367650",
            "telephone_number": "425-678-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP61598579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imija Ledea Williams
• Jeffrey Donald Williams, R.PH
• Joshua Roy Williams
• Naisa Kenniece Williams
• Sydney Andrea Williams
• Jennifer Marie Williamson
• Lee John Wilner Jr., LHMC
• Caitlin Anne Wilson, M.ED., BCBA, LBA
• Casey Valentine Wilson
• Cindy Lisa Wilson, RN

• Licensed Practical Nurse in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.