Tiffany Nickens, PA-C
NPI 1386136778 · Medical Physician Assistant · Redway, CA
Tiffany Nickens, PA-C is a Medical Physician Assistant provider in Redway, CA (NPI 1386136778).
Provider details
- NPI number
- 1386136778
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 62762 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 8401 Connecticut Ave Ph SuiteChevy Chase, MD 20815-5822Phone: (301) 942-2212Fax: (301) 942-1149
Registry dates
- Enumerated
- 2018-06-01
- Last updated
- 2025-09-23
- Certified
- 2025-09-23
Frequently asked questions
- What is Tiffany Nickens's NPI number?
- Tiffany Nickens's National Provider Identifier (NPI) is 1386136778, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tiffany Nickens's specialty?
- Tiffany Nickens is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Tiffany Nickens located?
- Tiffany Nickens's practice location on file with NPPES is 101 West Coast Rd, Redway, CA 95560.
- What is Tiffany Nickens's phone number?
- The practice phone number listed in the NPPES registry for Tiffany Nickens is (707) 923-2783.
- Is Tiffany Nickens's NPI active?
- Yes — Tiffany Nickens's NPI (1386136778) is active in the NPPES registry as of the last update on 2025-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.