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

Tiana Fuller

Individual provider Physician Assistant · NPI 1164387056

Tiana Fuller is a Physician Assistant in Puyallup, Washington. Qualified in 2025, 1 year ago. Licensed in Washington.

Years since qualifying
1
Licensed in
WA
In the registry since
2025

Practice location Address checks out

611 31st Ave SW
Puyallup, WA 98373-3723
Phone: (253) 848-5951
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (WA)

Record details

NPI number1164387056
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedDecember 22, 2025
Last updated in NPPESJanuary 22, 2026
Certification dateJanuary 22, 2026
Mailing address3908 10th St Se, Puyallup, WA 98374-2188

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Puyallup