Individual provider Active NPI

Tiffany Anderson Ongers

  • Family Nurse Practitioner
  • College Place, WA
National Provider Identifier
1922475532
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60724010 Issued in WA
Practice address
1705 SE Meadowbrook Blvd Ste 2
College Place, WA 99324-1756
Phone
(425) 276-3455
Fax
(509) 529-2858
NPI assigned
Aug 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 20397 TN
Family Nurse Practitioner 363LF0000X AP60724010 WA Primary

Addresses

Primary practice location

1705 SE Meadowbrook Blvd Ste 2
College Place, WA 99324-1756

Mailing address

2490 Parr Ave
Suite 3
Dyersburg, TN 38024-2029
Phone (731) 286-8007

Other practice location 1

2490 Parr Ave
Suite 3
Dyersburg, TN 38024-2029
Phone (731) 286-8007

Other practice location 2

508 N Wilbur Ave
Walla Walla, WA 99362-1549
Phone (888) 227-3312

Other practice location 3

1025 S 2nd Ave
Walla Walla, WA 99362-4116
Phone (509) 897-3000

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address thill777241@wm.providencedirect.org Direct
Direct Messaging Address thill777241@wm.providencedirect.org Direct
Direct Messaging Address thill777241@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.49 of 100Reported as group
Quality
86.28
Promoting interoperability
100
Improvement activities
40
Cost
78.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
20397TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Washington Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1922475532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 PARR AVE",
            "address_2": "SUITE 3",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242029",
            "telephone_number": "731-286-8007",
            "fax_number": "731-286-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 SE MEADOWBROOK BLVD STE 2",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "993241756",
            "telephone_number": "425-276-3455",
            "fax_number": "509-529-2858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2490 Parr Ave",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Dyersburg",
            "state": "TN",
            "postal_code": "380242029",
            "country_code": "US",
            "telephone_number": "731-286-8007",
            "fax_number": "731-286-8019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "508 N Wilbur Ave",
            "address_purpose": "LOCATION",
            "city": "Walla Walla",
            "state": "WA",
            "postal_code": "993621549",
            "country_code": "US",
            "telephone_number": "888-227-3312",
            "fax_number": "509-529-2858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 S 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Walla Walla",
            "state": "WA",
            "postal_code": "993624116",
            "country_code": "US",
            "telephone_number": "509-897-3000",
            "fax_number": "509-897-5899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON ONGERS",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "20397",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60724010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thill777241@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1705 SE Meadowbrook Blvd Ste 2",
            "city": "College Place",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993241756",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thill777241@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "508 N Wilbur Ave",
            "city": "Walla Walla",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993621549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thill777241@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1025 S 2nd Ave",
            "city": "Walla Walla",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993624116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in College Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.