Tri-Cities Infusion and Wellness Clinic
NPI 1417415530ActiveOrganization· Nurse Practitioner· Kennewick, WA
Nurse Practitioner in Kennewick, Washington, registered in NPPES in March 2019. The authorized official on file is Tyler Thornock, CRNA, Govenor.
Overview
| NPI | 1417415530 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 7, 2019 |
| Last updated in NPPES | Jul 18, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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