DEBORAH CHRISTINE TILLMAN (NPI# 1518434158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518434158 |
Entity Type | Individual |
Full Name | DEBORAH CHRISTINE TILLMAN |
Credential | ARNP |
Practice Address |
1064 Sommerville Rd. Chimacum WA 98325 |
Mailing Address |
Po Box 251 Port Hadlock WA 98339-0251 |
Practice Telephone | 3603011857 |
Mailing Telephone | 3603011857 |
Enumeration Date | 2018-11-01 |
Last Update Date | 2018-11-01 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP60879556 | WA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | STATE OF WASHINGTON NURSING COMMISSION | AP60879556 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184138760 | Deborah A Tillman | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2017-11-19 |
1174829451 | Deborah Tillman | Nurse Practitioner | 3300 Nw 27th Ave, Miami, FL 33142-5881 | 2011-02-02 |
1275782781 | Deborah L Tillman | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2008-09-09 |
Street Address |
1064 SOMMERVILLE RD. |
City | CHIMACUM |
State | WA |
Zip Code | 98325 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720094899 | Elizabeth Louise Boyd | Physical Therapist | 42 Nip Lee Rd, Chimacum, WA 98325 | 2006-07-31 |
1083643746 | Chimacum School District #49 | Local Education Agency (LEA) | 91 West Valley Rd, Chimacum, WA 98325 | 2006-07-02 |
1558708933 | Sarah Mcnulty | Occupational Therapist | 91 W Valley Rd, Chimacum, WA 98325-7731 | 2013-05-27 |
1639519358 | Matthew Wallace Mitchell | Occupational Therapist | 91 W Valley Rd, Chimacum, WA 98325-7731 | 2013-06-26 |
1932348653 | Elizabeth C Hansen | Physical Therapist | 692 Sugar Hill Rd, Chimacum, WA 98325-7732 | 2009-02-19 |
1306352182 | Jennifer Marie Cantlon | Behavior Technician | 5050 Center Rd, Chimacum, WA 98325-9757 | 2017-12-16 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861008716 | Matthew M. Hesse | Nurse Practitioner | 202 62nd Ave Ne, Tacoma, WA 98422-4018 | 2020-09-16 |
1770198400 | Irene Wambui Kamau | Nurse Practitioner | 36244 23rd Pl S, Federal Way, WA 98003-8369 | 2020-09-10 |
1841835782 | Toni M Keel | Nurse Practitioner | 11120 Ne 33rd Pl Ste 202, Bellevue, WA 98004-1444 | 2019-11-14 |
1821642026 | Elizabeth Nicole Firmin | Nurse Practitioner | 317 Ne Thornton Pl, Seattle, WA 98125-8020 | 2019-07-26 |
1841852043 | Mariana S Neeway | Nurse Practitioner | 112 Columbia Point Dr Ste 101, Richland, WA 99352-4390 | 2019-07-08 |
1023575172 | Amber Elexis Marsh | Nurse Practitioner | 1100 Goethals Dr Ste E2nd, Richland, WA 99352-3300 | 2019-02-25 |
1235696568 | Premier Diabetes Care, Pllc | Nurse Practitioner | 6101 123rd Ave Se Unit B, Snohomish, WA 98290-5694 | 2019-02-22 |
1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
1376038281 | Sharon Renay Christor | Nurse Practitioner | 19160 Front St. Ne, Poulsbo, WA 98370 | 2018-06-25 |
1487155503 | Courtney Lombardi | Nurse Practitioner | 1515 W Yakima Ave, Yakima, WA 98902 | 2018-02-23 |
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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.