TIFFANY AMBER NICKENS PA-C
NPI 1386136778
Physician Assistant - Medical in Redway, CA

NPI Status: Active since June 01, 2018

Contact Information

101 WEST COAST RD
#B
REDWAY, CA
ZIP 95560
Phone: (707) 923-2783

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  • Individual
  • Female
  • Physician Assistant
  • Medical

About TIFFANY NICKENS

This page provides the complete NPI Profile along with additional information for Tiffany Nickens, a primary care provider established in Redway, California with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1386136778 assigned on June 2018. The practitioner's primary taxonomy code is 363AM0700X with license number 62762 (CA). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1386136778
Provider Name
TIFFANY AMBER NICKENS PA-C
Gender
Female
Entity Type
Individual
Location Address
101 WEST COAST RD #B REDWAY, CA 95560
Location Phone
(707) 923-2783
Mailing Address
8401 CONNECTICUT AVE PH SUITE CHEVY CHASE, MD 20815
Mailing Phone
(301) 942-2212
Mailing Fax
Is Sole Proprietor?
No
Enumeration Date
06-01-2018
Last Update Date
09-23-2025
Code Navigator

A primary care provider (PCP) like Tiffany Nickens sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 8401 Connecticut Ave Ph Suite
    Chevy Chase, MD 20815
    (301) 942-2212

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
62762
License State
CA

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 28 times for 26 patients

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1386136778, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
6
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 1 → 2 6 → 12 → 3 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 6 + 6 + 2 + 3 + 1 + 2 + 7 + 1 + 4 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1386136778.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Social Worker
101 WEST COAST RD
REDWAY, CA 95560
Dental Hygienist
101 WEST COAST RD
REDWAY, CA 95560
Physician Assistant (Medical)
101 WEST COAST RD, B
REDWAY, CA 95560
Dentist
101 WEST COAST RD
REDWAY, CA 95560
Social Worker (Clinical)
101 WEST COAST RD
REDWAY, CA 95560
Non-emergency Medical Transport (VAN)
101 WEST COAST RD
REDWAY, CA 95560

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386136778, enumerated as an "individual" on June 01, 2018.

The provider is located at 101 WEST COAST RD #B REDWAY, CA 95560 and the phone number is (707) 923-2783.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.