Active NPI
Queliffuer Jireh Suyamin Tano, RN
- Medical-Surgical Registered Nurse
- Ritzville, WA
National Provider Identifier
1760296479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Registered Nurse
- License
- RN61560128
- Practice address
- 903 S Adams St.
Ritzville, WA 99169 - Phone
- (509) 659-1200
- Fax
- (509) 659-1832
- NPI assigned
- Feb 3, 2025
- 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 |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | RN61560128 | WA | Primary |
Addresses
Primary practice location
903 S Adams St.
Ritzville, WA 99169
Mailing address
104 E 2ND Ave
Apt 2
Ritzville, WA 99169
Phone (513) 687-6173
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 |
|---|---|---|---|
| RN61560128 | WA | MD | Medical-Surgical Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1760296479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 E 2ND AVE",
"address_2": "APT 2",
"city": "RITZVILLE",
"state": "WA",
"postal_code": "99169",
"telephone_number": "513-687-6173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 S ADAMS ST.",
"city": "RITZVILLE",
"state": "WA",
"postal_code": "99169",
"telephone_number": "509-659-1200",
"fax_number": "509-659-1832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANO",
"first_name": "QUELIFFUER JIREH",
"middle_name": "SUYAMIN",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-03",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "WA",
"license": "RN61560128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ritzville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.