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

Landi M Tillis

Individual provider Nurse Practitioner · NPI 1962036939

Landi M Tillis is a Nurse Practitioner in Seattle, Washington. Qualified in 2022, 4 years ago. Practices with Public Hospital Dist No 1 Skagit, a 321-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
4
Licensed in
WA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1959 NE Pacific St
Seattle, WA 98195-0001
Phone: (000) 000-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 901 S 5th St, Mount Vernon, WA 98274-3942 — (360) 428-6434

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP61349220 (WA)
Nurse Practitioner Taxonomy 363L00000X · Licence AP61349220 (WA)

Record details

NPI number1962036939
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 27, 2020
Last updated in NPPESJanuary 2, 2025
Certification dateJanuary 2, 2025
Mailing address2000 Hospital Dr, Sedro Woolley, WA 98284-4327

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Public Hospital Dist No 1 Skagit — 321 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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