Nicole Jacqueline Tannheimer, BFA, CDP, NCAC I

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP00005781 Issued in WA

Practice address

1000 SW 7TH St Ste B
Renton, WA 98057-5216

Phone

(206) 248-4358

Fax

(425) 430-9770

NPI assigned

Dec 19, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Fine Arts

State licenses

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1720550486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SW 7TH STE. B",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "98057",
            "telephone_number": "206-248-4358",
            "fax_number": "425-430-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SW 7TH ST STE B",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575216",
            "telephone_number": "206-248-4358",
            "fax_number": "425-430-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNHEIMER",
        "first_name": "NICOLE",
        "middle_name": "JACQUELINE",
        "credential": "BFA, CDP, NCAC I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00005781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAKESIDE MILAM RECOVERY CENTERS",
            "identifier": "CD00005781",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAKESIDE MILAM RECOVERY CENTERS",
            "identifier": "101YA400X",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lishu Tang, MT
• Sophie Haiming Tang, FNP-C
• Tak-Sing Tang, RPH
• Tiffany Tang, DMD
• William Tang, MD
• Kari Tanta, OT
• Geyang Tao, PHARMD
• Yessenia Marisol Tapia
• Shiho Sheila Tatsunami, ATC
• Nader Tawakkol, DDS

• Addiction (Substance Use Disorder) Counselor in Renton, WA
• Providers in Renton, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.