Tammy Elana Fahber, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP00049685 Issued in WA

Practice address

2901 Bridgeport Way W
University Place, WA 98466-4614

Phone

(253) 534-7623

Fax

(253) 534-7610

NPI assigned

May 6, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1528815545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 248TH ST E",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983877072",
            "telephone_number": "253-376-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 BRIDGEPORT WAY W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664614",
            "telephone_number": "253-534-7623",
            "fax_number": "253-534-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHBER",
        "first_name": "TAMMY",
        "middle_name": "ELANA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP00049685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vern J Essenberg Jr., MPT
• Eliannette Enid Esteves, MA60615915
• Eun K Kwon Washington Health Care
• Jenna Evans, MC
• F&M Healthcare, LLC
• Melissa Ann Fallat, ARNP
• Sayed Farhat
• Hayley Farkas, LMFTA
• Farnes Clinic, PS
• Larry D Farnes

• Licensed Practical Nurse in University Place, WA
• Providers in University Place, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.