TIFFANY GRAHAM (NPI# 1174754303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174754303 |
| Entity Type | Individual |
| Full Name | TIFFANY GRAHAM |
| Credential | CPO |
| Practice Address |
6011 Harry Hines Blvd Ste V2.302 Dallas TX 75390 |
| Mailing Address |
6011 Harry Hines Blvd Ste V2.302 Dallas TX 75390-9091 |
| Practice Telephone | 2146458250 |
| Practice Fax Number | 2146458258 |
| Mailing Telephone | 2146458250 |
| Mailing Fax Number | 2146458258 |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2018-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15301 Spectrum Dr, Suite #175, Addison, TX 750014665 | 9729809660 | 9729809313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548895816 | Tiffany E Graham | Counselor | 6705 Bulrush Ct, Greenacres, FL 33413-3486 | 2020-03-07 |
| 1548746605 | Tiffany Michelle Graham | Counselor | 9823 Cooper Run Ln, Charlotte, NC 28269 | 2018-07-12 |
| 1407387285 | Tiffany Mari Graham | Rehabilitation Practitioner | 9070 Big Sam Ct, Las Vegas, NV 89148-5087 | 2017-03-23 |
| 1578859997 | Tiffany Lynn Graham | Chiropractor | 1712 W Uintah St, Colorado Springs, CO 80904-2958 | 2011-06-23 |
| 1134597727 | Tiffany Marie Graham | Nurse Practitioner | 21600 Highway 99 Ste 260, Edmonds, WA 98026-8049 | 2015-09-13 |
| 1285011940 | Tiffany Marie Graham | Pathology | 1010 Airpark Center Dr, Nashville, TN 37217-5200 | 2015-05-01 |
| Street Address |
6011 HARRY HINES BLVD STE V2.302 |
| City | DALLAS |
| State | TX |
| Zip Code | 75390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447738273 | Dara Breanne Spivey | Prosthetist | 6011 Harry Hines Blvd Ste V2.302, Dallas, TX 75235-5386 | 2018-08-02 |
| 1871023820 | Natalie D Stewart | Orthotist | 6011 Harry Hines Blvd Ste V2.302, Dallas, TX 75235-5386 | 2017-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467075655 | Richard Mark Bresler | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Mc9159, Dallas, TX 75390 | 2020-05-21 |
| 1356970735 | Fabricio Stewan Feltrin | Student in an Organized Health Care Education/Training Program | 5323 Harry Hynes Boulevard, Dallas, TX 75390 | 2020-04-07 |
| 1477016467 | Seagal Raza Dauglas | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Mc9159, Dallas, TX 75390 | 2019-04-08 |
| 1831674340 | Adwoa Aninkorah | Nurse Practitioner | Ut Southwestern Medical Center 5151 Harry Hines Blvd, Dallas, TX 75390 | 2018-10-01 |
| 1194212712 | Christian Lobue | Clinical Neuropsychologist | 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 | 2018-04-19 |
| 1912439720 | Linsey Lindley | Student in an Organized Health Care Education/Training Program | 5939 Harry Hines Blvd 4th Floor Suite 100, Dallas, TX 75390 | 2017-03-30 |
| 1043759418 | Alyssa Macchiaroli | Registered Nurse | 5323 Harry Hines Blvd Mail Code 8590, Dallas, TX 75390 | 2017-02-18 |
| 1609313980 | Megan Rasmussen Bollner | Physician Assistant | 5303 Harry Hines Blvd Fl 9, Dallas, TX 75390 | 2017-01-25 |
| 1518329168 | Danny Hsu Yang | Hospitalist | 6201 Harry Hines Blved, Dallas, TX 75390 | 2016-03-23 |
| 1780046532 | Omer Mirza | Hospitalist | 6201 Harry Hines Blvd Dallas, Dallas, TX 75390 | 2016-03-22 |
| Find all providers in zip 75390 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869225 | Anna Christine Brown | Orthotist | 12880 Hillcrest Rd Ste J216, Dallas, TX 75230-1532 | 2020-10-22 |
| 1639713597 | Amanda Coldren | Orthotist | 6011 Harry Hines Blvd Ste 302, Dallas, TX 75235-5386 | 2019-11-04 |
| 1184266785 | Duran H Pardue | Orthotist | 6011 Harry Hines Blvd Fl 2, Dallas, TX 75235-5386 | 2019-10-15 |
| 1316452147 | Abigail Catherine Genet | Orthotist | 6011 Harry Hines Blvd Suite V5.400, Dallas, TX 75390-0001 | 2017-12-01 |
| 1154843647 | Nicholas Robison Brown | Orthotist | 6011 Harry Hines Blvd Ste V2302, Dallas, TX 75235-5386 | 2017-07-17 |
| 1902174717 | Jacqueline Adolph | Orthotist | 6011 Harry Hines Blvd V5 400, Dallas, TX 75390-9091 | 2011-12-07 |
| 1457598427 | Angie T Gonzales | Orthotist | 3910 Gaston Ave, Dallas, TX 75246-1511 | 2009-01-13 |
| 1952945263 | Katie Edwards | Orthotist | 2222 Welborn St, Dallas, TX 75219-3924 | 2019-10-30 |
| 1033752555 | Kristiana Rhae Kiessling | Orthotist | 2222 Welborn St, Dallas, TX 75219-3924 | 2019-10-28 |
| 1558878009 | Mckenzie Robinson Kemp | Orthotist | 2222 Welborn St, Dallas, TX 75219 | 2018-01-05 |
| Find all providers in DALLAS | ||||
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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.