TIFFANY RUPERT (NPI# 1265958490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265958490 |
| Entity Type | Individual |
| Full Name | TIFFANY RUPERT |
| Credential | NP |
| Practice Address |
280 Pattonsville Rd Jackson OH 45640-9452 |
| Mailing Address |
90 Jackson Pike Gallipolis OH 45631-1560 |
| Practice Telephone | 8554465937 |
| Mailing Telephone | 7404411949 |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2017-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
021148 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | PENDING | 05 | |
| WV | PENDING | 05 |
| Street Address |
280 PATTONSVILLE RD |
| City | JACKSON |
| State | OH |
| Zip Code | 45640-9452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003815481 | Robert Jeffrey Elliott | Pharmacist | 280 Pattonsville Rd, Jackson, OH 45640-9452 | 2005-07-19 |
| 1407470719 | Randy Jackson | Nurse Anesthetist, Certified Registered | 280 Pattonsville Rd, Jackson, OH 45640-9452 | 2020-06-02 |
| 1497223192 | Karrie Joanne Lansing | Nurse Practitioner | 280 Pattonsville Rd, Jackson, OH 45640-9452 | 2018-11-12 |
| 1811465107 | Tyler Martin Glassburn | Pharmacist | 280 Pattonsville Rd, Jackson, OH 45640-9452 | 2018-11-05 |
| 1750871646 | Arthur Waverly Huntley II | Student in an Organized Health Care Education/Training Program | 280 Pattonsville Rd, Jackson, OH 45640-9452 | 2018-05-16 |
| 1831625797 | Leslee Rice | Family Medicine | 280 Pattonsville Rd, Jackson, OH 45640-9452 | 2017-05-11 |
| 1598290702 | Dana M. Wilkerson | Pharmacist | 280 Pattonsville Rd, Jackson, OH 45640 | 2017-04-25 |
| 1073979548 | Laura Paul | Nurse Practitioner | 280 Pattonsville Rd, Jackson, OH 45640-9452 | 2016-01-13 |
| 1427453703 | Tina M Perkins | Nurse Practitioner | 280 Pattonsville Rd, Jackson, OH 45640-9452 | 2014-10-28 |
| 1194128561 | Christine Pearl | Nurse Practitioner | 280 Pattonsville Rd, Jackson, OH 45640-9452 | 2014-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131047 | Karen Angela Hill | Homemaker | 399 Florence Ave., Jackson, OH 45640 | 2020-10-14 |
| 1639609183 | Katherine Elizabeth Kazee | Pharmacist | 530 E Main St., Jackson, OH 45640 | 2017-06-18 |
| 1477080703 | Mary Jane Adams | Registered Nurse | 10 Lady Avenue, Jackson, OH 45640 | 2017-05-17 |
| 1669721833 | David L Weaver | Counselor | 731 E. Main Street, Suite 16, Jackson, OH 45640 | 2012-09-04 |
| 1710297387 | Cheryl Renee Mccarty | Physical Therapy Assistant | 269 E South Street, Jackson, OH 45640 | 2010-10-18 |
| 1619203536 | Connie Rae Klein-ferguson | Registered Nurse | 388 Webb Pierce Road, Jackson, OH 45640 | 2009-10-28 |
| 1114194347 | Community Action Committee of Pike County | Clinic/Center | 14590 St Rt 93, Family Health Center Jackson, Jackson, OH 45640 | 2008-05-16 |
| 1548489149 | Synergy Dialysis Associates, LLC | Clinic/Center | 500 Mccarty Ln, Jackson, OH 45640 | 2007-04-24 |
| 1770629487 | Lance Family Medicine | Family Medicine | 212 Pearl Street Suite E, Jackson, OH 45640 | 2007-01-29 |
| 1023176104 | Amber Nichole Pratt | Speech-Language Pathologist | 822 Sellars Dr, Jackson, OH 45640 | 2006-12-04 |
| Find all providers in zip 45640 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113627 | Jessicah Blasdel | Nurse Practitioner | 113 W Michigan Ave, Jackson, MI 49201-1340 | 2020-10-31 |
| 1801406335 | Jade Russell | Nurse Practitioner | 2205 W Morrell St, Jackson, MI 49203-1357 | 2020-08-10 |
| 1992315212 | Patrecia Campbell | Nurse Practitioner | 2570 Bailey Ave Ste 7, Jackson, MS 39213-6905 | 2020-08-01 |
| 1669008926 | Kristine Edwards | Nurse Practitioner | 723 Woodlawn Ave, Jackson, MI 49203-2921 | 2020-03-19 |
| 1295366391 | Christy White | Nurse Practitioner | 363 Old Pinson Rd, Jackson, TN 38301-9576 | 2020-01-28 |
| 1972141620 | Primary Care - Bemis, LLC | Nurse Practitioner | 1385 S Highland Ave Ste B4, Jackson, TN 38301-7547 | 2019-12-12 |
| 1174164263 | Tami Anne Miller | Nurse Practitioner | 124 N Bast St, Jackson, MO 63755-1704 | 2019-10-01 |
| 1265080584 | Cameron Nicole Howard | Nurse Practitioner | 1860 Chadwick Dr Ste 256, Jackson, MS 39204-3486 | 2019-08-29 |
| 1831750843 | Rhiannon Michelle Andresen | Nurse Practitioner | 1022 Greystone Sq, Jackson, TN 38305-3580 | 2019-06-21 |
| 1902376361 | Jenay B Krumm | Nurse Practitioner | 1201 E Michigan Ave Ste 200, Jackson, MI 49201-1855 | 2018-11-28 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on TIFFANY RUPERT.
| 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.