MR. CHARLES TIFFANY BARRET P.A.-C. NPI 1821113119

NPI Information

  • NPI: 1821113119
  • Provider Name: MR. CHARLES TIFFANY BARRET, P.A.-C.
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 90 SE KLAH CHE MIN DR
    SHELTON, WA
    ZIP 98584
  • Phone: (360) 427-9006

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NPI Details

MR. Charles Tiffany Barret, P.A.-C. is a medical physician assistant in Shelton, WA. MR. Charles Tiffany Barret, P.A.-C. NPI is 1821113119. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

90 SE KLAH CHE MIN DR
SHELTON, WA
ZIP 98584-216
Phone: (360) 427-9006
Fax: (360) 427-1951

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)

The enumeration date for this NPI number is 3/19/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA10000621WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18601197MEDICAIDWASHINGTON
2S80217MEDICARE UPINWASHINGTON
3AB07776MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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