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Active NPI 1740069830 Individual Practitioner Female Practitioner

Tifany Brevaldo , LPN

Licensed Practical Nurse • Kent, WA

Professional Overview & Biography Verified Profile Summary

Tifany Brevaldo, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Kent, WA. Practice services are available at 4014 S 270TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4014 S 270th St

Kent, WA 980327139

Telephone 2539454000

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Kent, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
51 Specialists

Practicing in Kent, WA (1730 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-09-27
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License FL 5252259

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Secondary Practice Locations

33330 8th Ave S

Federal Way, WA 980036325

Phone: 9048143499

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Kyle Hisole

Registered Nurse

NPI 1144970591
Erin Herringshaw , LPN

Licensed Practical Nurse

NPI 1255670915

Licensed Practical Nurse

Rozanne Benoschek , LPN

Licensed Practical Nurse

NPI 1265213417

Licensed Practical Nurse

Carole Crane

Licensed Practical Nurse

NPI 1306550645
Karen Richter

Registered Nurse

NPI 1316363526
Diane Livingston

Licensed Practical Nurse

NPI 1801363056

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 27, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location September 27, 2023

Registered at 4014 S 270TH ST, KENT, WA 980327139 (Tel: 2539454000)

📍
Updated Business Mailing Address September 27, 2023

Registered at 1812 S L ST, TACOMA, WA 984053962 (Tel: 9048143499)

👤
Provider Name / Credentials Updated September 27, 2023

Recorded as TIFANY BREVALDO, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2023

Licensed Practical Nurse (License #5252259 in FL)

🟢
Initial NPI Registration & Enumeration September 27, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740069830
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2023
Last Update: September 27, 2023
Sole Proprietor: No

Mailing Address

1812 S L St

Tacoma, WA 984053962

Phone: 9048143499

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.