Skip to content

Mushina Tillman

NPI 1154974814ActiveIndividual· Contractor· Maricopa, AZ

Contractor in Maricopa, Arizona, licensed in AZ, with an NPI issued in July 2019.

Overview

NPI1154974814
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedJul 22, 2019
Last updated in NPPESJul 22, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Contractor Primary171W00000X8863183AZ

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Contractor providers in Maricopa

All Contractor providers in Arizona →