Individual provider Active NPI

Tianna Tsitsis, MD

  • Internal Medicine Physician
  • Burlington, WA
National Provider Identifier
1336194760
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00036193 Issued in WA
Practice address
325 E George Hopper Rd Ste 101
Burlington, WA 98233-3154
Phone
(360) 982-2620
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD00036193 WA
Internal Medicine Physician 207R00000X MD00036193 WA Primary

Addresses

Primary practice location

325 E George Hopper Rd Ste 101
Burlington, WA 98233-3154

Mailing address

325 E George Hopper Rd Ste 101
Burlington, WA 98233-3154
Phone (360) 982-2620

Other names 1

  • Tianna Eitner Other name

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00036193WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RMD Medical Aesthetics Clinic, PLLC Single Specialty CurrentSince Jul 2, 2023 Accepting new patients

Locations

325 E George Hopper Rd
Ste 101
Burlington, WA 98233
Phone (360) 855-7800

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1336194760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E GEORGE HOPPER RD STE 101",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982333154",
            "telephone_number": "360-982-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E GEORGE HOPPER RD STE 101",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982333154",
            "telephone_number": "360-982-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSITSIS",
        "first_name": "TIANNA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2022-05-06",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00036193",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00036193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIANNA",
            "last_name": "EITNER",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Burlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.