TIMOTHY GARRETT IVERSON REGISTERED NURSE
NPI 1346047636
Registered Nurse - Addiction (Substance Use Disorder) in Santa Monica, CA

Q: What is the provider's specialty?

The provider's specialty is Registered Nurse with taxonomy code 163WA0400X and a focus in Addiction (Substance Use Disorder).

Active since February 25, 2025

1871 9TH ST, SANTA MONICA, CA 90404(646) 298-9614 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Timothy Garrett Iverson Registered Nurse NPPES

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

TIMOTHY GARRETT IVERSON REGISTERED NURSE (NPI 1346047636) is an individual addiction (substance use disorder) provider in Santa Monica, California, licensed in California (RN95358581) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1346047636

Entity TypeIndividualMale

Primary Taxonomy163WA0400X

Provider Legal NameTIMOTHY GARRETT IVERSONCredential: REGISTERED NURSE

Location Address1871 9TH STSanta Monica, CA 90404-4501

Mailing Address1871 9th StSanta Monica, CA 90404-4501 · (646) 298-9614

Phone(646) 298-9614

Sole ProprietorNo

Enumeration DateFebruary 25, 2025

NPPES CertifiedFebruary 25, 2025

✔ NPI 1346047636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Addiction (Substance Use Disorder)Nursing Service Providers

Taxonomy Code163WA0400X

License✔ Licensed in CA · RN95358581

1871 9TH ST, Santa Monica, CA 90404

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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NAT LATIFI RAD-T

Counselor (Addiction (Substance Use Disorder))