TIFFANY SOPHIA BENNETT (NPI# 1134785769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134785769 |
| Entity Type | Individual |
| Full Name | TIFFANY SOPHIA BENNETT |
| Other Name | TIFFANY SOPHIA THOMPSON |
| Practice Address |
7945 Wolf River Blvd Germantown TN 38138-1762 |
| Mailing Address |
7714 Poplar Ave Ste 200 Germantown TN 38138-3941 |
| Practice Telephone | 9016830055 |
| Practice Fax Number | 9016852969 |
| Mailing Telephone | 9016830055 |
| Mailing Fax Number | 9016852969 |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2020-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
903343 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICARE | T12267A | 01 |
| MS | MEDICARE | 900162 | 01 |
| MS | PENDING | 05 | |
| TN | Q054688 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629562913 | Tiffany Monique Bennett | Nurse's Aide | 1300 Crestline Ave, Cleveland, OH 44109-3081 | 2018-06-19 |
| 1649605189 | Tiffany Bennett | Case Manager/Care Coordinator | 14753 E 96th St N, Owasso, OK 74055-4803 | 2013-09-03 |
| 1386291896 | Tiffany Bennett | Physical Therapist | 112 Bradford Blvd Ste 500, Gordonsville, TN 38563-4618 | 2019-08-20 |
| 1922556612 | Tiffany L Bennett | Nurse Practitioner | 922 National Hwy, Lavale, MD 21502-7325 | 2016-09-12 |
| 1467826123 | Tiffany Bennett | Counselor | 1127 S 38th St, San Diego, CA 92113-3210 | 2015-11-18 |
| 1366859472 | Tiffany Bennett | Pharmacist | 2380 Buford Dr, Lawrenceville, GA 30043-7638 | 2014-07-21 |
| Street Address |
7945 WOLF RIVER BLVD |
| City | GERMANTOWN |
| State | TN |
| Zip Code | 38138-1762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548268592 | Suhail M Obaji | Internal Medicine | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2005-07-13 |
| 1851907703 | Christen Ann Coleman | Nurse Practitioner | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2020-09-16 |
| 1861001794 | Stephanie Ham | Nurse Practitioner | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2020-07-27 |
| 1760037287 | Michael Robert Seitz | Registered Nurse | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2019-08-02 |
| 1962068833 | Laura Leigh Smith | Occupational Therapist | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2019-05-15 |
| 1649733502 | Tiffany Hunt Kinard | Nurse Practitioner | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2019-04-08 |
| 1669933461 | Ellen Wills | Nurse Practitioner | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2019-03-26 |
| 1144781022 | Courtney Renae Susser | Nurse Practitioner | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2019-03-25 |
| 1063978948 | Kathryn Wright | Registered Nurse | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2019-02-15 |
| 1093270241 | Bethany Jordan Kelley | Nurse Practitioner | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2019-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| Find all providers in zip 38138 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1114537545 | Pamela Ngeghua Wanki | Nurse Practitioner | 13377 Rushing Water Way, Germantown, MD 20874-2170 | 2020-07-31 |
| 1154948974 | Sambila Valentine Zangre Congo | Nurse Practitioner | 12747 Longford Glen Dr, Germantown, MD 20874-4113 | 2020-06-27 |
| 1205466810 | Mother Baby Lactation Care, LLC | Nurse Practitioner | 11602 Scarlet Leaf Cir, Germantown, MD 20876-6048 | 2020-01-22 |
| 1861042095 | Kristina Murphy Fnp, LLC | Nurse Practitioner | 2095 Exeter Rd Ste 385, Germantown, TN 38138-3963 | 2019-09-19 |
| 1881255842 | Florence O Fakayode | Nurse Practitioner | 20201 Halethorpe Ln Apt 12, Germantown, MD 20876-5702 | 2019-06-21 |
| 1740844190 | Victorine Njang Njingo | Nurse Practitioner | 20818 Mountain Lake Ter, Germantown, MD 20874-3989 | 2019-04-30 |
| 1083176804 | Florence Tchetgna Djikimi | Nurse Practitioner | 19612 Musser Ct, Germantown, MD 20874-6247 | 2019-04-01 |
| 1427521053 | Charlotte Joure Knight | Nurse Practitioner | 9067 Poplar Ave Ste 109, Germantown, TN 38138-7851 | 2019-01-07 |
| 1568969517 | Nehali Patel | Nurse Practitioner | 12321 Middlebrook Rd Ste 101, Germantown, MD 20874-1512 | 2018-04-06 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 38138 |
Please comment or provide details below to improve the information on TIFFANY SOPHIA BENNETT.
| 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.