Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Christie Nicole Tyrrell, PA-C

Individual provider Medical Physician Assistant · NPI 1861710782

Christie Nicole Tyrrell, PA-C is a Physician Assistant in Puyallup, Washington. Qualified in 2010, 16 years ago. Practices with Kaiser Foundation Health Plan of Washington, a 1,519-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
16
Licensed in
WA
In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1007 39th Ave SE
Puyallup, WA 98374-2192
Phone: (253) 435-3100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA60148039 (WA)

Record details

NPI number1861710782
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 17, 2010
Last updated in NPPESMay 10, 2021
Certification dateMay 10, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Kaiser Foundation Health Plan Of Washington — 1519 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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