MRS. TIFFANY MARIE WILSON (NPI# 1366748345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366748345 |
| Entity Type | Individual |
| Full Name | MRS. TIFFANY MARIE WILSON |
| Credential | LM, CPM |
| Practice Address |
22003 66th Ave W # M5 Mountlake Terrace WA 98043 |
| Mailing Address |
20201 12th Ave W Lynnwood WA 98036-7182 |
| Practice Telephone | 4253210339 |
| Practice Fax Number | 4253327208 |
| Mailing Telephone | 4253210339 |
| Mailing Fax Number | 4253327208 |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2018-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 602996357 | WA | Other Service Providers |
| N | 175M00000X | Midwife, Lay | Other Service Providers | ||
| Y | 176B00000X | Midwife | 60829254 | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 60829254 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710456579 | Tiffany R Wilson | Counselor | 16 S Terrace Ave, Mount Vernon, NY 10550-2406 | 2018-11-21 |
| 1972975332 | Tiffany Wilson | Occupational Therapist | 2537 S Gessner Rd Ste 132, Houston, TX 77063-2090 | 2015-10-26 |
| 1528454840 | Tiffany Wilson | Counselor | 15714 Bannowsky Ln, Houston, TX 77049-1163 | 2015-04-13 |
| 1518393040 | Tiffany Marie Wilson | Licensed Practical Nurse | 1800 N Mccord Rd # P-172, Toledo, OH 43615-8702 | 2013-09-16 |
| 1871871095 | Tiffany Wilson | Social Worker | 1068 Sw Placetas Ave, Port Saint Lucie, FL 34953-3478 | 2011-07-22 |
| 1881923035 | Tiffany Wilson | Midwife | 144 W Abbottsford Ave, Philadelphia, PA 19144-3612 | 2009-12-17 |
| 1710920178 | Tiffany Kay Wilson | Physician Assistant | 301 N Monte Vista St, Ada, OK 74820-4607 | 2006-06-14 |
| 1700877057 | Tiffany D Wilson | Internal Medicine | 33 Creek Rd 190, Irvine, CA 92604-7702 | 2005-11-03 |
| 1184225286 | Tiffany Wilson | Social Worker | 22001 Fairmount Blvd, Cleveland, OH 44118-4819 | 2020-11-04 |
| 1013515105 | Tiffany Wilson | Case Manager/Care Coordinator | 10 6th Ave W, Huntington, WV 25701-0028 | 2020-10-12 |
| Street Address |
22003 66TH AVE W # M5 |
| City | MOUNTLAKE TERRACE |
| State | WA |
| Zip Code | 98043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785357 | Maria Angelica Lopez | Counselor | 22815 Lakeview Dr Apt 'g' - 308, Mountlake Terrace, WA 98043 | 2020-06-17 |
| 1447891411 | Juana Antonia Hartley | Technician | 4808 221st St. Sw, Mountlake Terrace, WA 98043 | 2019-10-01 |
| 1437709961 | Jamil Vaughn Shoot | Acupuncturist | 21705 56th Ave W, Mount Lake Terrace, WA 98043 | 2019-09-17 |
| 1942709449 | Julie A Hill | Registered Nurse | 22001 44th Ave W, Mountlake Terrace, WA 98043 | 2018-02-09 |
| 1205285004 | Preeti Suryakumar | Occupational Therapist | 23008 56th Ave West, Vineyard Park At Mountlake Terrace, Mountlake Terrace, WA 98043 | 2016-06-13 |
| 1467819623 | Liisa Marlene Geyer | Social Worker | 6021 244th St Sw # 400, Mountlake Terrace, WA 98043 | 2016-01-19 |
| 1346611696 | Isaiah Johnson | Massage Therapist | 21604 66th Ave N, #a, Mountlake Terrace, WA 98043 | 2015-10-13 |
| 1417343260 | Sunanta Angela Astorga | Counselor | 6021 244th St Sw #400, Mountlake Terrace, WA 98043 | 2015-04-08 |
| 1366835746 | Teresa Antoinette White | Chiropractor | 6603 220th St. Sw Suite 100, Mountlake Terrace, WA 98043 | 2015-03-10 |
| 1508156647 | Monica Jean Scott | Massage Therapist | 23009-56 Ave W # B, Mountlake Terrace, WA 98043 | 2011-04-11 |
| Find all providers in zip 98043 | ||||
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487196986 | Tara Kaleilani Lawal | Midwife | 23507 55th Ave W, Mountlake Terrace, WA 98043-5223 | 2016-11-15 |
| 1194347898 | Camila Hellmeister | Midwife | 22725 44th Ave W Ste 101, Mountlake Terrace, WA 98043-4500 | 2020-05-15 |
| 1104200823 | Sprout Birth Center & Natural Health, Pllc | Midwife | 22725 44th Ave W Ste 101, Mountlake Terrace, WA 98043-4500 | 2015-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265049985 | Skaidre Elena Brown | Midwife | 20800 Hermway Heights Pl, Mount Vernon, WA 98274-8021 | 2020-09-27 |
| 1023622727 | Serenity Quiggle | Midwife | 3205 Ne 78th St Ste 100, Vancouver, WA 98665-0697 | 2020-09-01 |
| 1831708536 | Amanda Laurie Evjene | Midwife | 11171 31st St Ne, Lake Stevens, WA 98258-8210 | 2020-07-28 |
| 1598374803 | Brandy Joy Stuart | Midwife | 1141 Marguerite Ave, Bremerton, WA 98337-1130 | 2020-07-23 |
| 1174149181 | Alison Tillmann | Midwife | 2619 S 128th St, Seatac, WA 98168-3029 | 2020-06-25 |
| 1104442672 | Elizabeth Fay | Midwife | 1317 13th Ave S, Seattle, WA 98144-3405 | 2020-06-22 |
| 1275157695 | Micah D'yarah Tryon | Midwife | 1201 Sycamore Dr Se, Issaquah, WA 98027-4822 | 2020-06-01 |
| 1811526858 | Kathryn Wortham | Midwife | 5629 S Fife St, Tacoma, WA 98409-6231 | 2020-04-02 |
| 1437780012 | Rachel A Pittenger | Midwife | 4300 Talbot Rd S Ste 402, Renton, WA 98055-6238 | 2020-01-31 |
| 1861022832 | Fly True Midwifery LLC | Midwife | 700 Prospect St Ste 201, Port Orchard, WA 98366-5399 | 2020-01-18 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTLAKE TERRACE |
| Zip Code | 98043 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.