MEDICARE: TIFFANY KAVANAUGH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WC0400X	Case Management Registered Nurse	00125836	WA

General Provider Information

NPI Number	:	1245120831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY KAVANAUGH

Provider Business Mailing Address
First Line	:	6418 E 18TH AVE
Second Line	:
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99212-0102
Country	:	US
Telephone Number	:	509-499-2182
Fax Number	:

Provider Business Practice Location Address
First Line	:	6418 E 18TH AVE
Second Line	:
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99212-0102
Country	:	US
Telephone Number	:	509-499-2182
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2025
Last Update Date	:	07/07/2025

Similar Medicare Providers

1144793423 — CARISSA BASILE
Practice Location Address:

502 E BOONE AVE
SPOKANE, WA
99258-0102

Practice Phone: 509-313-4287
Practice Fax:

1386988145 — AUDRIENA NEYSA GILLAM C.N.A., B.S.T.
Practice Location Address:

2700 S VALLEY VIEW BLVD APT F13
LAS VEGAS, NV
89102-0102

Practice Phone: 702-719-9980
Practice Fax:

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1720919400 — MS. SARAH L FOLEY
Practice Location Address:

8810 E MANSFIELD AVE
SPOKANE VALLEY, WA
99212-2372

Practice Phone: 206-940-0844
Practice Fax:

1104758838 — DEEPLY CONNECTED PARENTING
Practice Location Address:

6808 E 9TH AVE
SPOKANE VALLEY, WA
99212-0132

Practice Phone: 509-951-0794
Practice Fax:

1700606787 — MARISA CORONA
Practice Location Address:

1121 N ARGONNE RD
SPOKANE VALLEY, WA
99212-2686

Practice Phone: 509-838-4651
Practice Fax:

Directions to “ TIFFANY KAVANAUGH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.