Individual provider Active NPI

Tiffany Lawanna Washington

  • Community Health Worker
  • Pahrump, NV
National Provider Identifier
1720956329
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
CHW2-5114 Issued in NV
Practice address
1141 Bourbon St Apt B
Pahrump, NV 89048-2795
Phone
(775) 471-2704
NPI assigned
Oct 27, 2025
Last updated
Oct 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X CHW2-5114 NV Primary

Addresses

Primary practice location

1141 Bourbon St Apt B
Pahrump, NV 89048-2795

Mailing address

1141 Bourbon St Apt B
Pahrump, NV 89048-2795
Phone (775) 471-2704

Other practice location 1

780 Pratt St
Pahrump, NV 89048-6695
Phone (775) 419-8663

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

LicenseStateTypeSpecialty
CHW2-5114NVMDCommunity Health Worker

NPI Registry JSON

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

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1720956329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 BOURBON ST APT B",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890482795",
            "telephone_number": "775-471-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 BOURBON ST APT B",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890482795",
            "telephone_number": "775-471-2704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 Pratt St",
            "address_purpose": "LOCATION",
            "city": "Pahrump",
            "state": "NV",
            "postal_code": "890486695",
            "country_code": "US",
            "telephone_number": "775-419-8663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "TIFFANY",
        "middle_name": "LAWANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NV",
            "license": "CHW2-5114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahrump, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.