TIFFANY A THIEKEN (NPI# 1053664946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053664946 |
| Entity Type | Individual |
| Full Name | TIFFANY A THIEKEN |
| Practice Address |
1301 Fayetteville St Durham NC 27707-2325 |
| Mailing Address |
Po Box 52119 Durham NC 27717-2119 |
| Practice Telephone | 9199564000 |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2013-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
215128 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1301 FAYETTEVILLE ST |
| City | DURHAM |
| State | NC |
| Zip Code | 27707-2325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235121385 | John Thomas Witchger | Counselor | 1301 Fayetteville St, Durham, NC 27707-2325 | 2005-08-16 |
| 1417566613 | Rebecca Anne Kyle | Social Worker | 1301 Fayetteville St, Durham, NC 27707-2398 | 2020-07-24 |
| 1275195166 | Kiersten Denise Bethea | Dentist | 1301 Fayetteville St, Durham, NC 27707-2325 | 2019-07-01 |
| 1184182206 | Ashley Disean Green | Social Worker | 1301 Fayetteville St, Durham, NC 27707-2398 | 2019-03-07 |
| 1093280117 | Isaac Yaw Boadi Nuamah | Nurse Practitioner | 1301 Fayetteville St, Durham, NC 27707-2325 | 2018-10-04 |
| 1477033835 | Edmund Christopher Horgan Iv | Physician Assistant | 1301 Fayetteville St, Durham, NC 27707-2325 | 2018-08-15 |
| 1568960219 | Dan M Dewitya | Pharmacist | 1301 Fayetteville St, Durham, NC 27707-2325 | 2018-01-29 |
| 1891203519 | Steven Devere Lundeen | Pharmacist | 1301 Fayetteville St, Durham, NC 27707-2325 | 2018-01-16 |
| 1982146312 | Cameron Cutler | Dietitian, Registered | 1301 Fayetteville St, Durham, NC 27707-2325 | 2016-11-16 |
| 1326598558 | Charita Kincy Mccollers | Social Worker | 1301 Fayetteville St, Durham, NC 27707-2325 | 2016-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
| 1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
| 1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
| 1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
| 1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
| Find all providers in zip 27707 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528511102 | Tara Lynn West | Nurse Practitioner | 2300 Erwin Rd, Durham, NC 27707 | 2016-07-29 |
| 1285017863 | Danielle Sturkey | Nurse Practitioner | 2301 Erwin Road Box 3090/duke North 7506, Durham, NC 27710-4642 | 2015-07-01 |
| 1720472400 | Alexandra Megan Jackson | Nurse Practitioner | 6301 Herndon Road, Durham, NC 27713 | 2015-03-20 |
| 1538438882 | Lori Christine Walczyk | Nurse Practitioner | 5524 Hospital N, 100500 Med Center, Durham, NC 27710-0001 | 2011-12-15 |
| 1619207032 | Brenda Ward Poirier | Nurse Practitioner | 2415 E Geer St, Glenn Elementary School Wellness Center, Durham, NC 27704-3717 | 2010-01-07 |
| 1558588640 | Christine Hiller | Nurse Practitioner | 1301 Erwin Rd, Dumc 3474, Durham, NC 27710-0001 | 2007-04-19 |
| 1033283643 | Ana Maria Fernandez | Nurse Practitioner | 200 Trent Dr Ste 110, Durham, NC 27710-2319 | 2006-11-17 |
| 1770697559 | Lisa Ellen Rasbach | Nurse Practitioner | 3000 Erwin Road Suite 200, Durham, NC 27710 | 2006-08-18 |
| 1245799733 | Melissa Anne Loyd | Nurse Practitioner | 2301 Erwin Rd, Durham, NC 27705-4699 | 2019-03-14 |
| 1083186050 | Kaitlin Campbell | Nurse Practitioner | 2301 Erwin Rd, Durham, NC 27705-4699 | 2019-01-01 |
| Find all providers in DURHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.