Nicholas Tieu, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA1712 Issued in ID

Practice address

415 6TH St
Lewiston, ID 83501-2434

Phone

(208) 743-2511

NPI assigned

Dec 17, 2018

Last updated

Feb 8, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ntieu659979@direct.multicare.org

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.

• Kootenai Health, Inc.

  • Psychiatry Physician
  • Coeur d'Alene, ID
  • NPI 1174661151

  Multi-Specialty

  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Idaho- Nampa PLLC

  • Emergency Medicine Physician
  • Lewiston, ID
  • NPI 1558995316
  Medicare reassignment
• Kootenai Health, Inc.

  dba Kootenai Medical Center Group

  • Emergency Medicine Physician
  • Coeur d'Alene, ID
  • NPI 1235288655
  Medicare reassignment
• Kootenai Health, Inc.

  dba Kootenai Health Pharmacy

  • Community/Retail Pharmacy
  • Hayden, ID
  • NPI 1235986290
  NPD
• Kootenai Health, Inc.

  dba Kootenai Medical Center NIBH Group

  • Counselor
  • Coeur d'Alene, ID
  • NPI 1316096738
  NPD
• Allison Curtis Kingsley Meoz Michael & Sanchez PC

  dba Comprehensive Cancer Centers of Nevada

  • Hematology & Oncology Physician
  • Las Vegas, NV
  • NPI 1598770471

  Multi-Specialty

  NPD (past)
• Donald J. Greggain, M.D. PS

  • Family Medicine Physician
  • Clarkston, WA
  • NPI 1194786103

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1295206134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3233 COLONY HILL LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432042183",
            "telephone_number": "847-508-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 6TH ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012434",
            "telephone_number": "208-743-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEU",
        "first_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-17",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA1712",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.005767RX",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Marvin Thorne, MD, FACS
• Joseph Thornton, LMPO
• Jenna Thorson, LMT
• Kaden J Thueson, PA-C
• Sharon Thulon, R.N.
• Tonia Price, LMT
• Sheila Kim Trangchiu
• Tri-State Memorial Hospital
• Jessica M Triplett, MA
• Katherine Ann Troutman

• Physician Assistant in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.