TIFFANY BRUNO (NPI# 1194197947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194197947 |
| Entity Type | Individual |
| Full Name | TIFFANY BRUNO |
| Other Name | TIFFANY NELSON |
| Credential | AGACNP-BC |
| Practice Address |
3410 Worth St Suite 400 Dallas TX 75246-2003 |
| Mailing Address |
Po Box 911230 Dallas TX 75391-1230 |
| Practice Telephone | 2143701000 |
| Mailing Telephone | 9729978000 |
| Mailing Fax Number | 9722342987 |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2017-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP129332 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAILROAD | P01887095 | 01 |
| TX | 352291401 | 05 |
| Street Address |
3410 WORTH ST SUITE 400 |
| City | DALLAS |
| State | TX |
| Zip Code | 75246-2003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336121565 | Jacqueline G O'leary | Internal Medicine | 3410 Worth St, Suite 860, Dallas, TX 75246-2003 | 2005-11-15 |
| 1619455839 | Bonnie Lucio | Physical Therapist | 3410 Worth St, Dallas, TX 75246-2003 | 2018-07-31 |
| 1831604917 | Elizabeth Marie Brown | Nurse Practitioner | 3410 Worth St, Dallas, TX 75246-2003 | 2017-12-11 |
| 1003357799 | Whitney Mcmullan Whiteley | Registered Nurse | 3410 Worth St, Suite 250, Dallas, TX 75246-2003 | 2017-03-14 |
| 1841744042 | Augusto Flores | Nurse Practitioner | 3410 Worth St, Suite 860, Dallas, TX 75246-2003 | 2016-08-05 |
| 1255783122 | Kelly Amanda Johnson | Genetic Counselor, MS | 3410 Worth St, Suite 760, Dallas, TX 75246-2003 | 2016-07-05 |
| 1053760025 | Chelsey Burden | Genetic Counselor, MS | 3410 Worth St, Suite 760, Dallas, TX 75246-2003 | 2016-06-09 |
| 1154776243 | Debra Werley | Nurse Practitioner | 3410 Worth St, Suite 400, Dallas, TX 75246-2003 | 2016-04-26 |
| 1558732602 | Denise A Adams | Nurse Practitioner | 3410 Worth St, 9th Floor, Dallas, TX 75246-2003 | 2015-10-15 |
| 1366820805 | Minh-duong Tran | Pharmacist | 3410 Worth St, Dallas, TX 75246-2003 | 2015-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
| 1033683701 | Marta Revilla-leon | Dentist | 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 | 2019-01-16 |
| 1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
| 1841710266 | Stephanie Chartier-plante | Student in an Organized Health Care Education/Training Program | 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 | 2017-06-27 |
| 1528505096 | Adam Bohnenblust | Chiropractor | 411 N Washington Ave Ste 2200, Dallas, TX 75246 | 2017-01-23 |
| 1699121327 | Magnolia Pain Associates Pllc | Pain Medicine | 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 | 2016-05-12 |
| 1073969408 | Apurva Yeluru | Hospitalist | 3500 Gaston Ave Ste 550, Dallas, TX 75246 | 2016-05-04 |
| 1134580533 | Sp Alf Ops Co, LLC | Assisted Living Facility | 3922 Simpson Street, Dallas, TX 75246 | 2016-03-11 |
| 1386031185 | Lisa Voigt | Student in an Organized Health Care Education/Training Program | 3501 Junius Street, Dallas, TX 75246 | 2015-04-20 |
| 1891107843 | Jessica Shie | Internal Medicine | Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 | 2014-05-27 |
| Find all providers in zip 75246 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669083077 | Renee Mieselle Lies | Nurse Practitioner | 2602 Mckinney Ave Ste 115, Dallas, TX 75204-0727 | 2020-08-11 |
| 1518592534 | Raven Aravind | Nurse Practitioner | 1900 Caddo Street, Number 4, Dallas, TX 75204-4223 | 2020-03-10 |
| 1366090417 | Maria Whitney Nance | Nurse Practitioner | 7777 Forest Ln Ste D308, Dallas, TX 75230-2571 | 2019-09-02 |
| 1336708361 | Sunny Dedmon | Nurse Practitioner | 3225 Turtle Creek Blvd Apt 520, Dallas, TX 75219-5461 | 2019-06-12 |
| 1306401419 | Quatina Lasha Rivers-fleming | Nurse Practitioner | 522 Ivy Chase Loop, Dallas, GA 30157-0946 | 2019-05-03 |
| 1679136220 | Marvise Ijeoma Oduagu | Nurse Practitioner | 305 W Commerce St Apt 336, Dallas, TX 75208-1985 | 2019-04-19 |
| 1851860365 | Yoon Jung Ra | Nurse Practitioner | 2610 Allen St Apt 5410, Dallas, TX 75204-2447 | 2018-11-14 |
| 1134696453 | Mitchell Grayson Kelly | Nurse Practitioner | 5323 Harry Hines Blvd Mailcode 8590, Dallas, TX 75390-0001 | 2018-10-24 |
| 1710411822 | Latosca Brunner | Nurse Practitioner | 221 W Beckley Blvd, Pavilion 2 Suite 929, Dallas, TX 75202 | 2017-04-14 |
| 1376900746 | Lashandra Gray | Nurse Practitioner | 9111 Prairie Bluff Dr, Dallas, TX 75227-5245 | 2016-01-15 |
| 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.