TIFFANY WYNN (NPI# 1225404437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225404437 |
| Entity Type | Individual |
| Full Name | TIFFANY WYNN |
| Credential | LPCC |
| Practice Address |
1524 Bishops Lodge Rd #b Tesuque NM 87506 |
| Mailing Address |
1524 Bishops Lodge Ed #b Tesuque NM 87506 |
| Practice Telephone | 5054903547 |
| Mailing Telephone | 5054903547 |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2015-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
E.07000369 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357638 | Tiffany Wynn | Social Worker | 1805 Roswell Rd Apt 23d, Marietta, GA 30062-8951 | 2020-08-18 |
| 1104321173 | Tiffany Wynn | Behavior Technician | 1900 Embarcadero Ste 310, Oakland, CA 94606-5227 | 2018-03-29 |
| Street Address |
1524 BISHOPS LODGE RD #B |
| City | TESUQUE |
| State | NM |
| Zip Code | 87506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073110920 | Nambe Pueblo | Clinic/Center | 16a Tayeh Huu U, Pueblo of Nambe, NM 87506 | 2020-10-05 |
| 1811543655 | Waltor Surgical Assisting | Specialist/Technologist, Other | 708 Luna Vista, Santa Fe, NM 87506 | 2019-08-16 |
| 1518447762 | Rosario Cismowski Escobedo | Behavior Technician | 17709a Hwy 84/285, Santa Fe, NM 87506 | 2018-08-17 |
| 1417440777 | Las Clinicas Del Norte Incorporated | Clinic/Center | 1797b St. Rd 502, Santa Fe, NM 87506 | 2018-06-12 |
| 1992297915 | Carnell D Horn II | Behavior Technician | 44 Paseo Encantado Sw, Santa Fe, NM 87506 | 2018-06-05 |
| 1689101594 | James M Mccaffery | Ophthalmology | 45 Violet Circle, Santa Fe, NM 87506 | 2017-05-23 |
| 1912119298 | St Vincent Hospital | General Acute Care Hospital | 5 Petroglyph Circle, Suite A, Pojoaque, NM 87506 | 2007-05-07 |
| 1881733574 | Kathleen Ohringer Paster | Social Worker | 53 Heartstone Drive, Santa Fe, NM 87506 | 2007-02-06 |
| 1831269448 | Roberta R Goodman | Counselor | 187 Tesuque Village Rd, Tesuque, NM 87506 | 2006-11-09 |
| 1598841769 | Jude Pardee | Psychologist | 217 Camino Del Rincon, Santa Fe, NM 87506 | 2006-10-31 |
| Find all providers in zip 87506 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003517 | Megan Aileen Rafferty | Counselor | 1564 Trujillo Rd. S.w., Albuquerque, NM 87105-2857 | 2020-11-02 |
| 1851901243 | David A Weichbrodt LLC | Counselor | 9412 Las Calabazillas Rd Ne, Albuquerque, NM 87111-2540 | 2020-07-31 |
| 1346868882 | Brianna Brush | Counselor | 1945 Amis Ave, Las Cruces, NM 88005-1649 | 2020-07-10 |
| 1568080042 | Cyd Davis-hubler LLC | Counselor | 9301 Indian School Rd Ne Ste 200f, Albuquerque, NM 87112-2884 | 2020-07-10 |
| 1568089225 | Wild Rose Healing LLC | Counselor | 4012 Comanche Rd Ne, Albuquerque, NM 87110-1081 | 2020-06-29 |
| 1477178762 | Nancy Mcdonald | Counselor | 1876 Camino Lumbre, Santa Fe, NM 87505-5612 | 2020-06-11 |
| 1922621986 | Wethree | Counselor | 36 Aventura Rd, Santa Fe, NM 87508-8744 | 2020-05-26 |
| 1891318101 | Candace Michelle Garcia | Counselor | 6011 Arroyo Dr, Farmington, NM 87402-5366 | 2020-05-20 |
| 1073134011 | Superhealth, Inc. | Counselor | 19 Lumbre Del Sol, Espanola, NM 87532-6701 | 2020-04-30 |
| 1255966644 | Roots Eco-therapy, LLC | Counselor | 8 Moots Ct, Tijeras, NM 87059-7004 | 2020-03-06 |
| Find all providers with the same taxonomy | ||||
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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.