Active NPI
Tiffany Hawley, RN
- Home Health Registered Nurse
- Everett, WA
National Provider Identifier
1619791035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- RN61580054
- Practice address
- 1615 75TH St SW Ste 210
Everett, WA 98203-6293 - Phone
- (425) 261-4800
- NPI assigned
- Nov 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN61580054 | WA | Primary |
Addresses
Primary practice location
1615 75TH St SW Ste 210
Everett, WA 98203-6293
Mailing address
2918 Cavalero Rd
Lake Stevens, WA 98258-4518
Phone (068) 509-0922
Other names 1
- Tiffany Hawley
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN61580054 | WA | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1619791035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2918 CAVALERO RD",
"city": "LAKE STEVENS",
"state": "WA",
"postal_code": "982584518",
"telephone_number": "068-509-0922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 75TH ST SW STE 210",
"city": "EVERETT",
"state": "WA",
"postal_code": "982036293",
"telephone_number": "425-261-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWLEY",
"first_name": "TIFFANY",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-12",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "WA",
"license": "RN61580054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TIFFANY",
"last_name": "HAWLEY",
"credential": "GAMMAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.