Active NPI
Tiffany Pham, BA
- Counselor
- Tacoma, WA
National Provider Identifier
1669615878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- RC60045522
- Practice address
- 1201 S Proctor St
Tacoma, WA 98405-2047 - Phone
- (253) 396-5800
- Fax
- (253) 759-7008
- NPI assigned
- Apr 17, 2009
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | RC60045522 | WA | Primary |
Addresses
Primary practice location
1201 S Proctor St
Tacoma, WA 98405-2047
Mailing address
1201 S Proctor St
Tacoma, WA 98405-2047
Phone (253) 396-5800
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
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RC60045522 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239926400000",
"number": "1669615878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 S PROCTOR ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984052047",
"telephone_number": "253-396-5800",
"fax_number": "253-759-7008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 S PROCTOR ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984052047",
"telephone_number": "253-396-5800",
"fax_number": "253-759-7008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "TIFFANY",
"credential": "BA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-17",
"last_updated": "2009-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "RC60045522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.