MISS TIFFANY RECHANDRA JOHNSON (NPI# 1245593110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245593110 |
| Entity Type | Individual |
| Full Name | MISS TIFFANY RECHANDRA JOHNSON |
| Credential | RN, WHNP-BC |
| Practice Address |
3577 W 13 Mile Rd Royal Oak MI 48073-6710 |
| Mailing Address |
29390 Woodhaven Ln Southfield MI 48076-1642 |
| Practice Telephone | 2485511330 |
| Mailing Telephone | 2483533078 |
| Enumeration Date | 2012-06-16 |
| Last Update Date | 2019-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704248817 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
4704248817 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012193 | Tiffany Monique Johnson | Physical Therapy Assistant | 19138 Us Highway 281 N Ste 200, San Antonio, TX 78258-4988 | 2020-10-28 |
| 1598365033 | Tiffany Johnson | Counselor | 309 Ivy Chase Ln, Peachtree Corners, GA 30092-4641 | 2020-10-26 |
| 1790307403 | Tiffany Johnson | Nurse Practitioner | 109 Stephanie Dr, West Monroe, LA 71291-6975 | 2020-05-15 |
| 1912544727 | Tiffany L Johnson | Case Management | 10412 W Custer Ave, Milwaukee, WI 53225-3218 | 2019-11-30 |
| 1003462052 | Tiffany Marie Johnson | Nurse's Aide | 1209 Seward Ave., Sitka, AK 99835 | 2019-08-15 |
| 1649832080 | Tiffany Lynnjoy Johnson | Home Health Aide | 519 Quicksilver Trl, Fort Mill, SC 29708-6507 | 2019-07-06 |
| 1427532373 | Tiffany Johnson | Registered Nurse | 1425 109th Ln Nw, Coon Rapids, MN 55433-4214 | 2018-09-17 |
| 1104334846 | Tiffany Johnson | Nurse Practitioner | 1040 Noble Vines Dr Apt 2, Clarkston, GA 30021-1345 | 2018-01-16 |
| 1669915880 | Tiffany Johnson | Specialist/Technologist | 823 Fm 1528, Cooper, TX 75432 | 2016-11-19 |
| 1538617352 | Tiffany Lawrence Johnson | Registered Nurse | 500 Governor's Dr Sw, Huntsville, AL 35801 | 2016-09-21 |
| Street Address |
3577 W 13 MILE RD |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-6710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285634857 | Kurt Harrison Neumann | Internal Medicine | 3577 W 13 Mile Rd, Suite 103, Royal Oak, MI 48073-6710 | 2005-07-26 |
| 1396303954 | Lauren Robin Bliss | Physician Assistant | 3577 W 13 Mile Rd, Royal Oak, MI 48073-6710 | 2019-05-30 |
| 1982144150 | Chelsea Foster | Physician Assistant | 3577 W 13 Mile Rd, Suite 204, Royal Oak, MI 48073-6710 | 2017-03-07 |
| 1891232278 | Amy Copeland | Physician Assistant | 3577 W 13 Mile Rd, Suite 103, Royal Oak, MI 48073-6710 | 2017-01-24 |
| 1497129860 | Michelle Rie Okada | Physician Assistant | 3577 W 13 Mile Rd, Ste. 103, Royal Oak, MI 48073-6710 | 2015-11-22 |
| 1982022703 | Carla Phillips | Nurse Practitioner | 3577 W 13 Mile Rd, Royal Oak, MI 48073-6710 | 2014-03-29 |
| 1639592041 | Karen Macdonald | Nurse Practitioner | 3577 W 13 Mile Rd, Beaumont Pediatric Hematology/oncology, Royal Oak, MI 48073-6710 | 2014-01-22 |
| 1104255496 | Lauren Goedtel | Physician Assistant | 3577 W 13 Mile Rd, Ste 103, Royal Oak, MI 48073-6710 | 2013-11-06 |
| 1750717328 | Shannon M Wills | Physician Assistant | 3577 W 13 Mile Rd, Ste 404, Royal Oak, MI 48073-6710 | 2013-09-16 |
| 1578843629 | Michigan Healthcare Professionals PC | Durable Medical Equipment & Medical Supplies | 3577 W 13 Mile Rd, Suite 204, Royal Oak, MI 48073-6710 | 2011-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568913069 | Melinda Ferstle | Nurse Practitioner | 400 Walnut Ave, Royal Oak, MI 48073-5309 | 2016-10-19 |
| 1679973101 | Christina Poponea | Nurse Practitioner | 2208 Dallas Ave, Royal Oak, MI 48067-3580 | 2014-09-03 |
| 1255743993 | Heather Soucey | Nurse Practitioner | 629 S Altadena Ave, Royal Oak, MI 48067-2825 | 2014-05-29 |
| 1245537273 | Carlton I Dawes | Nurse Practitioner | 4711 Elmwood Ave, Royal Oak, MI 48073-1550 | 2011-02-28 |
| 1629131644 | Beth L Valmassoi | Nurse Practitioner | 32121 Woodward Ave Ste 200, Royal Oak, MI 48073-0999 | 2006-12-19 |
| 1881166866 | Senior Visits, LLC | Nurse Practitioner | 4711 Elmwood Ave, Royal Oak, MI 48073-1550 | 2019-01-01 |
| 1851743140 | Anthony Fazi | Nurse Practitioner | 3601 W 13 Mile Rd, Beaumont Hospital - Royal Oak, Royal Oak, MI 48073-6712 | 2016-07-11 |
| 1386024487 | Kristy Marie Byerly | Nurse Practitioner | 221 S Main St, Royal Oak, MI 48067-2653 | 2015-06-03 |
| 1720488943 | Tina Walny | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2014-08-25 |
| 1932343308 | Gwendolyn Michelle Pryor | Nurse Practitioner | 221 S Main St, Suite 201, Royal Oak, MI 48067-2653 | 2009-04-28 |
| Find all providers in ROYAL OAK | ||||
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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.