RED TYDE
NPI 1679156004
Physician Assistant - Medical in Logan, UT
About Red Tyde NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RED TYDE (NPI 1679156004) is a healthcare organization registered as a medical in Logan, Utah and active in the NPI registry since May 2021. The organization lists Tiffany M Redmond, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Red Tyde is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Red Tyde, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Red Tyde's NPI number?
The NPI number for Red Tyde is 1679156004. It was assigned to this organization in the NPPES registry on May 3, 2021.
Where is Red Tyde located?
Red Tyde is located at 196 S 100 W, Logan, UT 84321. The listed phone number is (435) 938-1440.
What is Red Tyde's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Red Tyde enrolled in Medicare?
Yes. Red Tyde is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Red Tyde?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Red Tyde. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Red Tyde accept?
Health plans from Molina Healthcare and University of Utah Health Plans list Red Tyde as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Red Tyde was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.
# Red Tyde · NPI 1679156004
Medical organization in Logan, Utah. Organization record, active in the CMS NPPES registry since May 3, 2021.
## Identity
- **NPI:** 1679156004 (Entity type: Organization)
- **Enumerated:** May 3, 2021
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **Organization subpart:** No
- **Authorized official:** Tiffany Redmond, OWNER
## Practice location
- **Address:** 196 S 100 W, Logan, UT 84321-5233
- **Phone:** (435) 938-1440 · **Fax:** (833) 359-1642
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 15, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1679156004) · Data from the CMS NPPES public registry.