Individual provider · Type 1 NPI
Tania Josephine Dickson-Humphries, PA-C
Physician Assistant · Stateline, NV
Practice location
155 Highway 50 Ste 102
Stateline, NV 89449-9816
Fax (530) 541-8683
Mailing address
2170 South Ave
South Lake Tahoe, CA 96150-7026
Other practice locations
- 2170 South Ave, South Lake Tahoe, CA 96150-7026 · (530) 541-5497
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PA65355 (CA) |
| Surgical Physician Assistant | 363AS0400X | PA1358 (NV) |
| Physician Assistant Primary | 363A00000X | PA1358 (NV) |
| Surgical Physician Assistant | 363AS0400X | PA65355 (CA) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
Other physician assistant providers in Stateline
About NPI 1831453109
Tania Josephine Dickson-Humphries, PA-C's National Provider Identifier is 1831453109, issued on Jul 1, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Stateline, NV. The record was last updated on Nov 20, 2025.