Charles Tiffany Barret, P.A.-C.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA10000621 Issued in WA

Practice address

90 SE Klah Che Min Dr
Shelton, WA 98584-9216

Phone

(360) 427-9006

Fax

(360) 427-1951

NPI assigned

Mar 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821113119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 LILLY RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985063007",
            "telephone_number": "360-491-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 SE KLAH CHE MIN DR",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985849216",
            "telephone_number": "360-427-9006",
            "fax_number": "360-427-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRET",
        "first_name": "CHARLES",
        "middle_name": "TIFFANY",
        "name_prefix": "Mr.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10000621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8601197",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Dana Barnard, M.D.
• Ashlee M Barnes
• Tawnee Marie Barnes, SUDPT
• Ilyssa Martin Barr, MA, LMHCA, MHP
• Kimberly Barragan, SUDPT
• Sara Barrow, PHARMD, RPH
• John Charles Barton, AAC
• Rebecca M Baughman
• Behavioral Health Resources
• Thomas Long Belanger Jr., M.D.

• Medical Physician Assistant in Shelton, WA
• Providers in Shelton, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.