MUSHINA TILLMAN
NPI 1154974814
Contractor in Maricopa, AZ

Active since July 22, 2019
19358 N LOUSANDRA DR, MARICOPA, AZ 85138(708) 264-8280 Get Directions Write a Review

NPPES record last updated: July 22, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mushina Tillman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MUSHINA TILLMAN (NPI 1154974814) is an individual contractor provider in Maricopa, Arizona, licensed in Arizona (8863183) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1154974814
Entity TypeIndividualFemale
Primary Taxonomy171W00000X
Provider Legal NameMUSHINA TILLMAN
Location Address19358 N LOUSANDRA DRMaricopa, AZ 85138-5776
Mailing Address994 S Harrison RdTucson, AZ 85748-6608 · (520) 721-1887
Sole ProprietorYes
Enumeration DateJuly 22, 2019
NPI 1154974814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
License Licensed in AZ · 8863183
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
19358 N LOUSANDRA DR, Maricopa, AZ 85138

Other Identifiers 1

Other8863183AZ · Therapeutic Foster Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mushina Tillman's NPI number?

The NPI number for Mushina Tillman is 1154974814. It was assigned to this individual provider in the NPPES registry on July 22, 2019.

Where is Mushina Tillman located?

Mushina Tillman practices at 19358 N Lousandra Dr, Maricopa, AZ 85138. The listed phone number is (708) 264-8280.

What is Mushina Tillman's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Mushina Tillman was last updated on July 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.