DR. AMANDA LEE TAVOULARIS DDS
NPI 1982707014
Dental Hygienist in Lynnwood, WA

Q: What is Amanda Tavoularis's NPI number?

The NPI number for Amanda Tavoularis is 1982707014. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Q: What is Amanda Tavoularis's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Tavoularis was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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 06, 2006PECOS Enrolled

19505 76TH AVE W, STE 100, LYNNWOOD, WA 98036(425) 775-3613(425) 670-8966 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Amanda Lee Tavoularis Dds NPPES

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

DR. AMANDA LEE TAVOULARIS DDS (NPI 1982707014) is an individual dental hygienist in Lynnwood, Washington and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982707014

Entity TypeIndividualFemale

Primary Taxonomy124Q00000X

Provider Legal NameDR. AMANDA LEE TAVOULARISCredential: DDS

Location Address19505 76TH AVE W, STE 100Lynnwood, WA 98036

Mailing Address19505 76th Ave W, Ste 100Lynnwood, WA 98036 · (425) 775-3613 · Fax (425) 670-8966

Phone(425) 775-3613

Fax(425) 670-8966

Sole ProprietorNo

Enumeration DateSeptember 6, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1982707014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDental HygienistDental Providers

Taxonomy Code124Q00000X

Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

Also ListedDentistTaxonomy 122300000X · License 7460 (WA)

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amanda Lee Tavoularis Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

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

MONICA GABRIELA RONDON APRN-BC

Nurse Practitioner (Family)

19505 76TH AVE W, SUITE 200
LYNNWOOD, WA 98036

Snohomish County (425) 775-3496

FELICIA FORREST CNM, ARNP

Nurse Practitioner

19505 76TH AVE W, SUITE 200
LYNNWOOD, WA 98036

Snohomish County (425) 771-7450

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 Amanda Tavoularis's NPI number?

The NPI number for Amanda Tavoularis is 1982707014. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Amanda Tavoularis located?

Amanda Tavoularis practices at 19505 76th Ave W Ste 100, Lynnwood, WA 98036. The listed phone number is (425) 775-3613.

What is Amanda Tavoularis's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

Is Amanda Tavoularis enrolled in Medicare?

Yes. Amanda Tavoularis is registered in the Medicare PECOS enrollment system.

What insurance does Amanda Tavoularis accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Amanda Tavoularis 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 Amanda Tavoularis was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.