NPI

Tania Josephine Dickson-Humphries

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
PA-C
Type
Individual
Enumeration date
2012-07-01
Last updated
2025-11-20

Specialties

Licenses

License CA
PA65355
License NV
PA1358
License NV
PA1358
License CA
PA65355

Location

Practice location
155 Highway 50 Ste 102
City
Stateline NV
Postal code
89449-9816
Phone
(530) 541-5497

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Stateline, NV. 70 records in the public file.

Removal request

Public data from NPPES and CMS. Not a credentialing determination.

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