Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tiffany L Haynie, PA-C

Individual provider Medical Physician Assistant · NPI 1093110603

Tiffany L Haynie, PA-C is a Physician Assistant in Gilbert, Arizona. Qualified in 2011, 15 years ago. Practices with Desert Sky Dermatology PLLC, a 13-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
15
Licensed in
AZ
In the registry since
2014
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

1684 E Boston St Ste 102
Gilbert, AZ 85295-6220
Phone: (480) 448-2411
Fax: (480) 476-8718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 455 E 4th Pl, Mesa, AZ 85203-7101 — (480) 964-0080

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5801 (AZ)

Record details

NPI number1093110603
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 24, 2014
Last updated in NPPESJuly 15, 2020
Certification dateJuly 15, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Desert Sky Dermatology Pllc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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