MRS. TIFFANY C CRABB (NPI# 1003843525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003843525 |
| Entity Type | Individual |
| Full Name | MRS. TIFFANY C CRABB |
| Other Name | MISS TIFFANY SANDE |
| Credential | PA-C |
| Practice Address |
7308 Bridgeport Way W Suite 201 Lakewood WA 98499-2777 |
| Mailing Address |
805 Madison St Suite 901 Seattle WA 98104-1172 |
| Practice Telephone | 2535827257 |
| Practice Fax Number | 2535821617 |
| Mailing Telephone | 2062648100 |
| Mailing Fax Number | 2062648689 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2011-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 0119850 | WA | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | PA10005100 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LIWA | 0215352 | 01 |
| WA | BSWA | 2156SA | 01 |
| WA | 8468894 | 05 |
| Street Address |
7308 BRIDGEPORT WAY W SUITE 201 |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-2777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921707 | Julian S Arroyo | Orthopaedic Surgery | 7308 Bridgeport Way W, Ste 201, Lakewood, WA 98499-8000 | 2005-06-10 |
| 1629518105 | Emily N Billings | Physical Therapist | 7308 Bridgeport Way W, Suite 103, Lakewood, WA 98499-8000 | 2017-03-02 |
| 1124493440 | Linda Phimmavong | Massage Therapist | 7308 Bridgeport Way W, Ste. 103, Lakewood, WA 98499-8000 | 2015-12-11 |
| 1376910125 | Krista Elizabeth Guyll | Physician Assistant | 7308 Bridgeport Way W, Suite 201, Lakewood, WA 98499-8000 | 2015-08-27 |
| 1790151538 | Timothy J. Mann | Physical Therapist | 7308 Bridgeport Way W, Ste. 103, Lakewood, WA 98499-8000 | 2015-08-17 |
| 1790161578 | Emma Nicole Mcnutt | Massage Therapist | 7308 Bridgeport Way W, Ste. 103, Lakewood, WA 98499-8000 | 2015-08-04 |
| 1346655941 | Rachelle Kay Denman Sherwood | Physical Therapist | 7308 Bridgeport Way W, Ste. 103, Lakewood, WA 98499-8000 | 2014-06-23 |
| 1487065819 | Daniel Marler | Orthotist | 7308 Bridgeport Way W, Ste 204, Lakewood, WA 98499-8000 | 2014-05-20 |
| 1982014437 | Marvin Soriano | Physician Assistant | 7308 Bridgeport Way W, Suite 201, Lakewood, WA 98499-8000 | 2014-05-06 |
| 1427497668 | Mellissa Anne Selander | Massage Therapist | 7308 Bridgeport Way W, Ste. 103, Lakewood, WA 98499-8000 | 2013-06-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
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| 1396345195 | Clarissa Rachael Flynn | Physician Assistant | 13795 W Kentucky Dr, Lakewood, CO 80228-3064 | 2020-10-29 |
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| 1639778277 | Lindsay Marie Schulz Mustard | Physician Assistant | 7293 W Kentucky Dr Apt B, Lakewood, CO 80226-4920 | 2020-10-24 |
| 1316552946 | Madelynn Lea Fretto | Physician Assistant | 101 Prospect St Ste 107, Lakewood, NJ 08701-5003 | 2020-09-10 |
| 1467075309 | Allison Mckinney | Physician Assistant | 1471 Newman Ave, Lakewood, OH 44107-5117 | 2020-05-27 |
| 1598392466 | Pauline Imelda Salguero | Physician Assistant | 4202 Maybank Ave, Lakewood, CA 90712-3910 | 2020-03-23 |
| 1033745096 | Kelsey Taylor Horton | Physician Assistant | 939 S Johnson Way, Lakewood, CO 80226-4043 | 2020-03-20 |
| 1700425154 | Mary Beth Jacobson | Physician Assistant | 2192 Lewis Dr, Lakewood, OH 44107-6141 | 2020-01-02 |
| 1023651908 | Molly Mclean | Physician Assistant | 7700 W Virginia Ave Unit B, Lakewood, CO 80226-3144 | 2019-10-23 |
| 1831743889 | Dov Berish Zeitman | Physician Assistant | 30 Serenity Way, Lakewood, NJ 08701-4060 | 2019-07-29 |
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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.