Individual provider Active NPI

Tiffanie Irene Neal

  • Peer Specialist
  • Kelso, WA
National Provider Identifier
1316841737
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
200 Academy St
Kelso, WA 98626-3435
Phone
(360) 226-7608
Fax
(360) 226-7608
NPI assigned
Oct 7, 2026
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X WA Primary

Addresses

Primary practice location

200 Academy St
Kelso, WA 98626-3435

Mailing address

2410 Grand Blvd
Vancouver, WA 98661-4630
Phone (360) 226-7608

Other practice location 1

2410 Grand Blvd
Vancouver, WA 98661-4630
Phone (360) 226-7608

Other names 1

  • Ms. Tiffanie Irene Blankenship Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1316841737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 GRAND BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986614630",
            "telephone_number": "360-226-7608",
            "fax_number": "360-226-7608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ACADEMY ST",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986263435",
            "telephone_number": "360-226-7608",
            "fax_number": "360-226-7608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2410 Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986614630",
            "country_code": "US",
            "telephone_number": "360-226-7608",
            "fax_number": "360-226-7608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEAL",
        "first_name": "TIFFANIE",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-07",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANIE",
            "last_name": "BLANKENSHIP",
            "middle_name": "IRENE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kelso, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.