NICOLE JACQUELINE TANNHEIMER BFA, CDP, NCAC I
NPI 1720550486
Counselor - Addiction (Substance Use Disorder) in Renton, WA

Active since December 19, 2018
1000 SW 7TH ST STE B, RENTON, WA 98057(206) 248-4358(425) 430-9770 Get Directions Write a Review

NPPES record last updated: December 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Jacqueline Tannheimer Bfa, Cdp, Ncac I NPPES

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

NICOLE JACQUELINE TANNHEIMER BFA, CDP, NCAC I (NPI 1720550486) is an individual addiction (substance use disorder) provider in Renton, Washington, licensed in Washington (CP00005781) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1720550486
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameNICOLE JACQUELINE TANNHEIMERCredential: BFA, CDP, NCAC I
Location Address1000 SW 7TH ST STE BRenton, WA 98057-5216
Mailing Address1000 Sw 7th Ste. BRenton, WA 98057 · (206) 248-4358 · Fax (425) 430-9770
Fax(425) 430-9770
Sole ProprietorYes
Enumeration DateDecember 19, 2018
NPI 1720550486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WA · CP00005781
1000 SW 7TH ST STE B, Renton, WA 98057

Other Identifiers 2

Other101YA400XWA · Lakeside Milam Recovery Centers
OtherCD00005781WA · Lakeside Milam Recovery Centers

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 Nicole Tannheimer's NPI number?

The NPI number for Nicole Tannheimer is 1720550486. It was assigned to this individual provider in the NPPES registry on December 19, 2018.

Where is Nicole Tannheimer located?

Nicole Tannheimer practices at 1000 SW 7th St Ste B, Renton, WA 98057. The listed phone number is (206) 248-4358.

What is Nicole Tannheimer's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Nicole Tannheimer was last updated on December 19, 2018. 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.