Active NPI
Tammy Doane
- Mastectomy Fitter
- Puyallup, WA
National Provider Identifier
1306653316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mastectomy Fitter
- License
- 605-233-660
- Practice address
- 19027 77TH Ave E
Puyallup, WA 98375-6915 - Phone
- (253) 507-2728
- NPI assigned
- Dec 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mastectomy Fitter | 224900000X | 605-233-660 | WA | Primary |
Addresses
Primary practice location
19027 77TH Ave E
Puyallup, WA 98375-6915
Mailing address
18216 92ND Ave E
Puyallup, WA 98375-6272
Phone (253) 507-2728
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 |
|---|---|---|---|
| 605-233-660 | WA | MD | Mastectomy Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760659200000",
"number": "1306653316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18216 92ND AVE E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983756272",
"telephone_number": "253-507-2728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19027 77TH AVE E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983756915",
"telephone_number": "253-507-2728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOANE",
"first_name": "TAMMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-12",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "224900000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Mastectomy Fitter",
"state": "WA",
"license": "605-233-660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.