TIFFANY K ROBERTS (NPI# 1326367483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326367483 |
| Entity Type | Individual |
| Full Name | TIFFANY K ROBERTS |
| Other Name | TIFFANY K ROBERTS WILSON |
| Credential | PHD |
| Practice Address |
317 Great Bridge Blvd Suite B Chesapeake VA 23320-7008 |
| Practice Telephone | 4045615988 |
| Mailing Telephone | 4045615988 |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2015-02-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649749862 | Tiffany Brooke Roberts | Specialist/Technologist | 13942 Sw 43rd St, Davie, FL 33330-5735 | 2018-11-16 |
| 1740702240 | Tiffany Nicole Roberts | Behavior Technician | 309 Sw 80th Ave, Miami, FL 33144-2119 | 2017-07-17 |
| 1033502240 | Tiffany Roberts | Registered Nurse | 700 Victory Blvd Apt 5b, Staten Island, NY 10301-3506 | 2015-03-12 |
| 1003100728 | Tiffany Juterbock Roberts | Marriage & Family Therapist | 1202 Morena Blvd., Suite 300, San Diego, CA 92110 | 2011-05-31 |
| 1700101854 | Tiffany Denise Roberts | Licensed Practical Nurse | 1838 Lakenoll Dr, Cincinnati, OH 45231-5118 | 2010-04-01 |
| 1649880014 | Tiffany J Roberts | Family Medicine | 2812 Hartford Hwy, Dothan, AL 36305-4927 | 2020-07-31 |
| 1134697444 | Tiffany Roberts | Behavioral Analyst | 445 E Dublin Granville Rd, Worthington, OH 43085-3192 | 2018-11-05 |
| 1861990780 | Tiffany Tomiye Roberts | Nurse Practitioner | 2293 Sugar Hill Rd Ste D, Marion, NC 28752-7787 | 2018-01-25 |
| 1760909667 | Tiffany Roberts | Speech-Language Pathologist | 2474 E Joyce Blvd Ste 2, Fayetteville, AR 72703-4932 | 2017-08-23 |
| 1629448543 | Tiffany Brenda Joy Roberts | Nurse Practitioner | 2905 Highway 77, Panama City, FL 32405-5013 | 2015-10-05 |
| Street Address |
317 GREAT BRIDGE BLVD SUITE B |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23320-7008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144550443 | Shoreline Medical LLC | Durable Medical Equipment & Medical Supplies | 317 Great Bridge Blvd, Suite B, Chesapeake, VA 23320 | 2010-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263499 | Trinity Hospice 1, LLC | Hospice Care, Community Based | 1401 Kempsville Road, Suite A, Unit 1, Chesapeake, VA 23320 | 2020-04-09 |
| 1538624804 | Shaniqah Mcleod | Home Health | 217 Centerville Turnpike N, Chesapeake, VA 23320 | 2019-01-31 |
| 1942764113 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1400 Kempsville Rd, Virginia Beach, VA 23320 | 2019-01-22 |
| 1639647993 | Madison Vansavage Maben | Orthotist | 433 Network Sta, Chesapeake, VA 23320 | 2018-11-05 |
| 1568947356 | Kelly M Muchetti | Massage Therapist | 1421 C. Kempsville Rd., Chesapeake, VA 23320 | 2018-09-27 |
| 1235612912 | L&s Home Health Care, LLC. | Home Health | 1545 Cossways Blv, Chesepeake, VA 23320 | 2018-09-10 |
| 1154803500 | Latricia A Patterson | Home Health | 813-a Professional Pl Ste 107, Chesapeake, VA 23320 | 2018-09-02 |
| 1164909586 | 4k Tresses | Durable Medical Equipment & Medical Supplies | 1220 Executive Blvd Ste 101, Chesapeake, VA 23320 | 2018-07-27 |
| 1831676105 | Lance Taylor | Technician | 1645 Crossways Blvd Ste 250, Chesapeake, VA 23320 | 2018-07-19 |
| 1023507688 | Sentoria Howell Harold | Social Worker | 920 Ventures Way Ste 4, Chesapeake, VA 23320 | 2018-05-08 |
| Find all providers in zip 23320 | ||||
| Taxonomy Code | 247ZC0005X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Pathology |
| Specialization | Clinical Laboratory Director, Non-physician |
| An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. |
| Notes: Source: National Uniform Claim Committee [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114483484 | Indy Health Labs LLC | Pathology | 4521 Brambleton Ave Ste 205, Roanoke, VA 24018-3432 | 2019-02-12 |
| 1053749754 | Rowaida Bedewy | Pathology | 140 Parker Rd W, Suite # A, Danville, VA 24540-7425 | 2013-10-16 |
| 1306031299 | Wendy Golden | Pathology | Lee Street Pathology, Charlottesville, VA 22908-0001 | 2007-09-13 |
| 1194167452 | Eugene Schwilke | Pathology | 450 Southlake Blvd, North Chesterfield, VA 23236-3094 | 2013-07-26 |
| 1619110475 | Tricity Imaging & Diagnostics | Pathology | 603 S Sycamore St, Petersburg, VA 23803-5814 | 2009-04-09 |
| 1790925873 | Bilal Group LLC | Pathology | 603 S Sycamore St, Petersburg, VA 23803-5814 | 2009-03-02 |
| City | CHESAPEAKE |
| Zip Code | 23320 |
Please comment or provide details below to improve the information on TIFFANY K ROBERTS.
| 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.