Active NPI
Tiffany Marie Crain
- Addiction (Substance Use Disorder) Counselor
- Everett, WA
National Provider Identifier
1619424769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CP00005637
- Practice address
- 3322 Broadway
Everett, WA 98201-4425 - Phone
- (425) 345-0579
- NPI assigned
- Sep 7, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP00005637 | WA | Primary |
Addresses
Primary practice location
3322 Broadway
Everett, WA 98201-4425
Mailing address
2217 S 15TH St
Mount Vernon, WA 98274-9020
Phone (425) 345-0579
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 |
|---|---|---|---|
| CP00005637 | WA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473206400000",
"number": "1619424769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2217 S 15TH ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982749020",
"telephone_number": "425-345-0579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3322 BROADWAY",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014425",
"telephone_number": "425-345-0579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIN",
"first_name": "TIFFANY",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-07",
"last_updated": "2016-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP00005637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
- Briana Coyne, PHARMD
- CP Snohomish County Wa, LLC (Providence at Home with Compassus Home Health, Snohomish County)
- CP Snohomish County Wa, LLC (Providence at Home with Compassus Palliative Care, Snohomish County)
- CP Snohomish County Wa, LLC (Providence at Home with Compassus Hospice Care, Snohomish County)
- Craig Pearce DMD PLLC
- Tonja Marie Cram, CO 60537894
- John F Cramer, MD
- Martha M Cramer, PT, MPT
- Robert David Cramer, SUDPT
- Sean J Cramer, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.