TIFFANY NELSON (NPI# 1265413033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265413033 |
Entity Type | Individual |
Full Name | TIFFANY NELSON |
Other Name | TIFFANY NIEDNER |
Credential | MD |
Practice Address |
20940 N Tatum Blvd Ste 300 Phoenix AZ 85050-7273 |
Practice Telephone | 4806070060 |
Practice Fax Number | 4806075809 |
Mailing Telephone | 4806070060 |
Mailing Fax Number | 4806075809 |
Enumeration Date | 2005-11-09 |
Last Update Date | 2018-03-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 32173 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 860959 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
20940 N Tatum Blvd, Ste 390, Phoenix, AZ 850504265 | 4806070060 | 4806075809 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659985091 | Tiffany Nelson | Social Worker | 7016 Century Ct, Tinley Park, IL 60477-5486 | 2020-09-02 |
1174039879 | Tiffany Nelson | Specialist/Technologist | 1525 Wind River Ln, Billings, MT 59101-8945 | 2017-12-18 |
1942712849 | Tiffany La'trelle Nelson | Case Management | 2486 Quacco Rd, Pooler, GA 31322-8402 | 2017-10-31 |
1972842359 | Tiffany J Nelson | Nurse Practitioner | 8620 Mora Ln, Saint Louis, MO 63147-1222 | 2013-02-05 |
1194058933 | Tiffany Ann Nelson | Physician Assistant | 6001 E. Woodmen Rd., St. Francis Medical Center - Nicu, Colorado Springs, CO 80923 | 2009-09-11 |
1275727000 | Tiffany Lynn Nelson | Dentist | 320 West Myrtle St, Ste 100, Duluth, MN 55811 | 2007-09-05 |
1700866597 | Tiffany S. Nelson | Pathology | Psc 482 Box 2612, Fpo, AP 96362 | 2006-01-18 |
1235606476 | Tiffany M Nelson | Behavior Technician | 1325 Howe Ave Ste 207, Sacramento, CA 95825-3364 | 2018-10-25 |
1225565948 | Tiffany Nelson | Nurse Practitioner | 100 North Main Street, Gideon, MO 63848 | 2017-05-12 |
1730552753 | Tiffany Nelson | Case Manager/Care Coordinator | 4700 Wichers Dr, 205, Marrero, LA 70072-3041 | 2015-11-12 |
Street Address |
20940 N TATUM BLVD STE 300 |
City | PHOENIX |
State | AZ |
Zip Code | 85050-7273 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659751857 | Kellie Wheeler | Family Medicine | 20940 N Tatum Blvd Ste 300, Phoenix, AZ 85050-7273 | 2015-06-02 |
1720490352 | Katy Anne Kirk | Family Medicine | 20940 N Tatum Blvd Ste 300, Phoenix, AZ 85050-7273 | 2014-06-02 |
1972890648 | Tomas A. Acuna | Family Medicine | 20940 N Tatum Blvd Ste 300, Phoenix, AZ 85050 | 2011-07-01 |
1164742458 | Patricia Lissette Rodriguez | Family Medicine | 20940 N Tatum Blvd Ste 300, Phoenix, AZ 85050-7273 | 2010-06-09 |
1689993024 | Clifford J Gazda | Family Medicine | 20940 N Tatum Blvd Ste 300, Phoenix, AZ 85050-7273 | 2010-05-25 |
1356456552 | Lisa J Piccione | Family Medicine | 20940 N Tatum Blvd Ste 300, Phoenix, AZ 85050-7273 | 2006-08-20 |
1245253707 | Martin Jay Hernandez | Family Medicine | 20940 N Tatum Blvd Ste 300, Phoenix, AZ 85050-7273 | 2006-07-25 |
1083673024 | Edward J Perrin | Family Medicine | 20940 N Tatum Blvd Ste 300, Phoenix, AZ 85050-7273 | 2006-03-20 |
1740269406 | Kelly M Luba | Family Medicine | 20940 N Tatum Blvd Ste 300, Phoenix, AZ 85050-7273 | 2006-01-11 |
1467433144 | Kristin K Lau | Family Medicine | 20940 N Tatum Blvd Ste 300, Phoenix, AZ 85050-7273 | 2005-11-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770045528 | Jesse Micheal Stokke | Student in an Organized Health Care Education/Training Program | Honorhealth Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-04-02 |
1386104974 | Dania Aijaz Shah | Student in an Organized Health Care Education/Training Program | Honor Health Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-03-21 |
1205391588 | Sanctuary | Clinic/Center | 2550 E Rose Garden Ln, # 73404, Phoenix, AZ 85050 | 2019-01-31 |
1477026474 | Archer Health LLC | Nurse Practitioner | 21001 N Tatum Blvd Ste 1630 - 490, Phoenix, AZ 85050 | 2019-01-02 |
1548756059 | Preston Andrew Slade | Community/Behavioral Health | 20860 E. Tatum Blvd Ste, 300, Phoenix, AZ 85050 | 2018-07-09 |
1184126658 | Alisha Ramirez | Specialist/Technologist | 19638 N 37th Way, Phoenix, AZ 85050 | 2018-03-01 |
1720590011 | Dr Richards Pllc | Internal Medicine | 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 | 2017-10-26 |
1417474792 | Heather Arabeity | Nurse Practitioner | 3762 E Zachary Dr, Phoenix, AZ 85050 | 2017-08-28 |
1083161087 | Haley Elaine Kinzer | Physician Assistant | 20950 N Tatum Blvd Ste 150, Phoenix, AZ 85050 | 2016-09-07 |
1003227927 | Chelsea Joy Thomsen | Internal Medicine | 26224 N Tatum Blvd Ste 7, Phoenix, AZ 85050 | 2014-05-13 |
Find all providers in zip 85050 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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1194339200 | Madison Le | Family Medicine | 3037 W Cat Balue Dr, Phoenix, AZ 85027-2342 | 2020-09-04 |
1720604069 | Good Health Medical, PC | Family Medicine | 2632 S 83rd Ave Ste 113, Phoenix, AZ 85043-7206 | 2020-06-23 |
1427670751 | Florence Wellness Pllc | Family Medicine | 101 E Washington St Fl 7, Phoenix, AZ 85004-2450 | 2020-05-08 |
1437782257 | Jillian Knapp | Family Medicine | 521 W Butler Dr, Phoenix, AZ 85021-4526 | 2020-02-20 |
1861033912 | Vanessa Lissette Lara | Family Medicine | 1459 E Flower St, Phoenix, AZ 85014-5666 | 2019-09-30 |
1366007411 | Marceline E Ndum | Family Medicine | 10631 S. 51st Street, Suite 1, Phoenix, AZ 85044-5225 | 2019-05-03 |
1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
1326510389 | Leanne J Muniz | Family Medicine | 19635 N Cave Creek Rd Apt 344, Phoenix, AZ 85024-1879 | 2018-12-31 |
1164905535 | Clark Medical, Pllc | Family Medicine | 2601 N 3rd St Ste 106, Phoenix, AZ 85004-1144 | 2018-09-12 |
1780180901 | Babymoon Inn Family Care LLC | Family Medicine | 202 E Morris Dr, Phoenix, AZ 85012-2323 | 2018-04-05 |
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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.