TIFFANY WISE (NPI# 1154822708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154822708 |
| Entity Type | Individual |
| Full Name | TIFFANY WISE |
| Practice Address |
6384 Covenant Crest Ct Las Vegas NV 89131-1300 |
| Mailing Address |
5370 E Craig Rd Apt 2414 Las Vegas NV 89115-2122 |
| Practice Telephone | 7024765058 |
| Mailing Telephone | 7028861236 |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers | ||
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467810358 | Tiffany Danielle Wise | Nurse Practitioner | 601 S 8th St, Griffin, GA 30224-4213 | 2016-02-05 |
| Street Address |
6384 COVENANT CREST CT |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89131-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174024228 | Sophia Rene Stephens | Technician | 6384 Covenant Crest Ct, Las Vegas, NV 89131-1300 | 2018-02-23 |
| 1518461094 | Robert Gilbert IIi | Chore Provider | 6384 Covenant Crest Ct, Las Vegas, NV 89131-1300 | 2018-03-20 |
| 1881197150 | Monique D Garcia | Chore Provider | 6384 Covenant Crest Ct, Las Vegas, NV 89131-1300 | 2018-03-13 |
| 1255834990 | Natasha Satchell | Respiratory Therapist, Registered | 6384 Covenant Crest Ct, Las Vegas, NV 89131-1300 | 2018-03-08 |
| 1396246310 | John Wise | Chore Provider | 6384 Covenant Crest Ct, Las Vegas, NV 89131-1300 | 2018-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013497973 | Vivian Matti | Technician | 7155 Royal Melbourne Dr, Las Vegas, NV 89131 | 2018-08-20 |
| 1235656810 | Yolonda Chantelle Johnson | Massage Therapist | 8400 Farm Road #150, Las Vegas, NV 89131 | 2017-08-24 |
| 1528581865 | Nevada Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8491 Farm Rd, Las Vegas, NV 89131 | 2017-07-19 |
| 1992252522 | Brittany Ann Brumfield | Behavioral Analyst | 7580 Splashing Rock Drive, Las Vegas, NV 89131 | 2016-09-01 |
| 1144682220 | Integrative Health & Wellness Practices LLC | Chiropractor | 6628 Skypointe Drive Suite 113, Las Vegas, NV 89131 | 2016-03-28 |
| 1659747137 | Daniel Leiner | Pharmacist | 8410 W. Farm Road, Las Vegas, NV 89131 | 2015-08-19 |
| 1669860938 | Adrienne K Stauffer-snell | Chiropractor | 8400 Farm Road, Suite 150, Las Vegas, NV 89131 | 2015-01-08 |
| 1568897874 | Arturo Hernandez | Physical Therapist | 6535 N Buffalo Dr Ste 120, Las Vegas, NV 89131 | 2013-09-05 |
| 1750727996 | Sheppards Health Education &psychiatric Services | Counselor | 5827 Falling Stream Street, Las Vegas, NV 89131 | 2013-05-15 |
| 1962748038 | Phases of Me, Inc. | Counselor | 6624 Sky Pointe Drive, Las Vegas, NV 89131 | 2012-12-18 |
| Find all providers in zip 89131 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396628 | Jill Azevedo | Technician | 6300 Black Mesa Ct, Las Vegas, NV 89142-7919 | 2020-11-06 |
| 1396346409 | Johanna Dwyer | Technician | 5755 E Lake Mead Blvd Apt D, Las Vegas, NV 89156-6859 | 2020-11-04 |
| 1063013274 | Lloyd Major | Technician | 3830 University Center Dr Apt 318, Las Vegas, NV 89119-7420 | 2020-11-04 |
| 1861093239 | Raiquave Morgan | Technician | 5256 Tamarus St Apt B, Las Vegas, NV 89119-5047 | 2020-11-03 |
| 1669073250 | Chrissy Bowser | Technician | 3355 Spg Mnt Rd Ste 67, Las Vegas, NV 89102-8633 | 2020-11-02 |
| 1235739392 | Maxima Del Carmen Garcia | Technician | 3580 E Alexander Rd Apt 2016, Las Vegas, NV 89115 | 2020-10-28 |
| 1427657196 | Hector Querubin | Technician | 5400 S Maryland Pkwy Apt 165, Las Vegas, NV 89119-2642 | 2020-10-22 |
| 1043819063 | Ma Guadalupe Ramos Michel | Technician | 2415 Reynolds Ave #101, Las Vegas, NV 89030 | 2020-10-21 |
| 1881293777 | Miguel Angel Umpierre | Technician | 9889 Overlook Ridge Ave, Las Vegas, NV 89148 | 2020-10-21 |
| 1356940654 | Shannon Gordon | Technician | 1224 W Lake Mead Blvd, Las Vegas, NV 89106-2415 | 2020-10-19 |
| Find all providers in LAS VEGAS | ||||
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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.