TIFANY BREVALDO LPN
NPI 1740069830
Licensed Practical Nurse in Kent, WA

Q: What is Tifany Brevaldo's NPI number?

The NPI number for Tifany Brevaldo is 1740069830. It was assigned to this individual provider in the NPPES registry on September 27, 2023. The provider is also known as Tifany Vanterpool Lpn.

Q: What is Tifany Brevaldo's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Tifany Brevaldo was last updated on September 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 27, 2023

4014 S 270TH ST, KENT, WA 98032(253) 945-4000 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tifany Brevaldo Lpn NPPES

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

TIFANY BREVALDO LPN (NPI 1740069830) is an individual licensed practical nurse in Kent, Washington, licensed in Florida (5252259) and active in the NPI registry since September 2023. She maintains a secondary practice location in Federal Way.

NPPES Registry Identity

NPI1740069830

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameTIFANY BREVALDOCredential: LPN

Location Address4014 S 270TH STKent, WA 98032-7139

Mailing Address1812 S L StTacoma, WA 98405-3962 · (904) 814-3499

Phone(253) 945-4000

Sole ProprietorNo

Enumeration DateSeptember 27, 2023

NPPES CertifiedSeptember 27, 2023

✔ NPI 1740069830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in FL · 5252259

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

4014 S 270TH ST, Kent, WA 98032

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Other Names 1

Former Name (1)Tifany Vanterpool Lpn

Secondary Practice Location 1

Location 133330 8th Ave SFederal Way, WA 98003-6325 · Phone (904) 814-3499

Other Providers at the Same Location NPPES 7

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

ENJOLI WASHINGTON MSOT, OTR/L

Occupational Therapist