TANIA JOSEPHINE DICKSON-HUMPHRIES (NPI# 1831453109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831453109 |
| Entity Type | Individual |
| Full Name | TANIA JOSEPHINE DICKSON-HUMPHRIES |
| Credential | PA-C |
| Practice Address |
1375 Vista Ln Carson City NV 89703-4643 |
| Mailing Address |
1802 Yakima Ave Ste 204 Tacoma WA 98405-5304 |
| Practice Telephone | 7755442225 |
| Practice Fax Number | 7758823706 |
| Mailing Telephone | 2533828540 |
| Mailing Fax Number | 2533828545 |
| Enumeration Date | 2012-07-01 |
| Last Update Date | 2020-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA1358 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA60970121 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1375 VISTA LN |
| City | CARSON CITY |
| State | NV |
| Zip Code | 89703-4643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225028277 | Kraig Allyn Knoll | Surgery | 1375 Vista Ln, Carson City, NV 89703-4646 | 2005-10-21 |
| 1992209696 | Catherine Blanchard | Physician Assistant | 1375 Vista Ln, Carson City, NV 89703 | 2018-03-19 |
| 1609389329 | Carrie Davidson | Physician Assistant | 1375 Vista Ln, Carson City, NV 89703-4643 | 2017-11-16 |
| 1952785701 | Ashley Vazeen | Nurse Practitioner | 1375 Vista Ln, Carson City, NV 89703-4643 | 2015-07-10 |
| 1588086185 | Allison Tiffany Adams | Physician Assistant | 1375 Vista Ln, Carson City, NV 89703 | 2014-01-16 |
| 1629310305 | Arturo Guzman | Surgery | 1375 Vista Ln, Carson City, NV 89703 | 2013-03-20 |
| 1386957728 | John Hwang | Surgery | 1375 Vista Ln, Carson City, NV 89703 | 2010-07-14 |
| 1821050253 | Mark A. Demar | Surgery | 1375 Vista Ln, Carson City, NV 89703-4643 | 2006-04-03 |
| 1942281712 | Shannon Beal | Surgery | 1375 Vista Ln, Carson City, NV 89703 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487215232 | Madison M Gurries | Audiologist | 1493 Medical Parkway, Carson City, NV 89703 | 2019-06-24 |
| 1609332949 | Tsl Skyline Estates, LLC | Assisted Living Facility | 2705 Mountain St., Carson City, NV 89703 | 2019-02-12 |
| 1790252120 | Reno Orthopaedic Clinic Inc. | Physical Therapist | 1365 Medical Parkway, Carson City, NV 89703 | 2018-10-24 |
| 1265910970 | Marvel Dental Carson City, LLC | Clinic/Center | 410 Fleischmann Way Suite A., Carson City, NV 89703 | 2018-08-03 |
| 1619348489 | Nevada Health Centers Inc. | Clinic/Center | 618 W. Musser Street, Carson City, NV 89703 | 2015-10-19 |
| 1518351089 | Christopher Vlasek | Family Medicine | 412 W John St Ste B, Carson City, NV 89703 | 2015-03-23 |
| 1902215254 | Grant Vaughn Davis | Behavioral Analyst | 1316 Monte Rosa Drive, Carson City, NV 89703 | 2014-08-11 |
| 1437563152 | Nina Patynowski | Nurse Practitioner | 415 W Sofia St, Ste 100, Carson City, NV 89703 | 2014-06-20 |
| 1679853089 | Carson Tahoe Physician Clinics | Family Medicine | 1200 Moutain Street, Suite 220, Carson City, NV 89703 | 2011-08-17 |
| 1790094076 | Darlene Parrish | Occupational Therapy Assistant | 3050 N. Ormsby Bl, Carson City, NV 89703 | 2010-10-04 |
| Find all providers in zip 89703 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073614236 | James H Nicely | Physician Assistant | 1001 Mountain St, Suite 3 M, Carson City, NV 89703-3822 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453186 | High Cotton LLC | Physician Assistant | 7995 Blue Diamond Rd Ste 102-356, Las Vegas, NV 89178-9301 | 2020-10-06 |
| 1427591759 | Eduardo Delatorre | Physician Assistant | 7978 Coronado Coast St, Las Vegas, NV 89139-6192 | 2016-11-17 |
| 1598148538 | Filbert John Aquino | Physician Assistant | 921 Twilight Peak Ave., Suite 110, Henderson, NV 89012-3187 | 2015-07-08 |
| 1275923278 | Bradley Ryan Duncan | Physician Assistant | 645 Angela St, Fernley, NV 89408-8321 | 2015-01-28 |
| 1992130181 | Jason Michael Hall | Physician Assistant | 7385 S Pecos Rd Ste 101, Las Vegas, NV 89120-3768 | 2013-09-06 |
| 1790024164 | Rachelle L Kidd | Physician Assistant | 9162 Ballineen Ct, Las Vegas, NV 89148-4946 | 2013-02-05 |
| 1104162643 | David J Barth P.C. | Physician Assistant | 5455 S Fort Apache Rd Ste 108-9, Las Vegas, NV 89148-6408 | 2013-01-02 |
| 1184977555 | Luke V. Desjarlais, Pllc | Physician Assistant | 9035 Westchester Hill Ave, Las Vegas, NV 89148-4926 | 2012-10-22 |
| 1598023954 | Ronald Lavor Moon | Physician Assistant | 9806 Red Deer St, Las Vegas, NV 89143 | 2012-04-23 |
| 1720319890 | Tiffany Ann Teepen | Physician Assistant | 8420 W Warm Springs Rd # 100, Las Vegas, NV 89113-3624 | 2010-01-28 |
| Find all providers with the same taxonomy | ||||
| City | CARSON CITY |
| Zip Code | 89703 |
Please comment or provide details below to improve the information on TANIA JOSEPHINE DICKSON-HUMPHRIES.
| 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.