Elizabeth Noel Tikriti, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA60875571 Issued in WA

Practice address

1211 N 16TH Ave
Yakima, WA 98902-1347

Phone

(509) 454-8888

NPI assigned

Jun 4, 2018

Sex

Female

Sole proprietor

No

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 WA

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

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kittitas Valley Urgent Care PLLCGroup PAC ID 5092093542, 24 clinicians

Summitview Urgent Care IncGroup PAC ID 7911316526, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Kittitas Valley Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Ellensburg, WA
  • NPI 1578926770
  Medicare reassignment Care Compare group NPD
• Summitview Urgent Care Inc

  • Urgent Care Clinic/Center
  • Yakima, WA
  • NPI 1326651191
  Medicare reassignment Care Compare group
• Physicians Immediate Care & Medical Centers, P.S.

  • Family Medicine Physician
  • Richland, WA
  • NPI 1821002510
  Medicare reassignment

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1326530452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 N 16TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989021347",
            "telephone_number": "509-454-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N 16TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989021347",
            "telephone_number": "509-454-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIKRITI",
        "first_name": "ELIZABETH",
        "middle_name": "NOEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "PA60875571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry J Tieman
• Tieton Village Drug
• Tieton Village Drug Inc.
• Tieton Village Drugs Inc
• Kelly Anne Tijerina
• Samantha E Tillotson, LMP
• Kelly A Timmons, M.D. PHD
• Elizabeth Ann Tincher, CRNA
• Todd E Titus, CRNA
• Ram Tiwari

• Surgical Physician Assistant in Yakima, WA
• Providers in Yakima, WA by specialty
• Surgical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.
• 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.

Verify at the official NPI Registry.