MS. TIFFANY TRUNNELL (NPI# 1457686800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457686800 |
| Entity Type | Individual |
| Full Name | MS. TIFFANY TRUNNELL |
| Credential | MA |
| Practice Address |
2695 E Industrial Dr Flagstaff AZ 86004-6109 |
| Mailing Address |
2187 N Vickey St Flagstaff AZ 86004-6121 |
| Practice Telephone | 9285271899 |
| Practice Fax Number | 9285270028 |
| Mailing Telephone | 9285271899 |
| Mailing Fax Number | 9287146480 |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2009-10-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
13330 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
2695 E INDUSTRIAL DR |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86004-6109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447220207 | Valerie D Guernsey | Psychiatry & Neurology | 2695 E Industrial Dr, Flagstaff, AZ 86004-6109 | 2006-01-25 |
| 1790249464 | Kelly Marie O'donnell | Social Worker | 2695 E Industrial Dr, Flagstaff, AZ 86004-6109 | 2019-01-28 |
| 1760959399 | James Kip W Moyer IIi | Marriage & Family Therapist | 2695 E Industrial Dr, Flagstaff, AZ 86004-6109 | 2018-11-01 |
| 1588193619 | Sirene Rose Lipschutz | Social Worker | 2695 E Industrial Dr, Flagstaff, AZ 86004-6109 | 2017-06-12 |
| 1164892485 | Lyna Munoz-morris | Counselor | 2695 E Industrial Dr, Flagstaff, AZ 86004-6109 | 2015-09-29 |
| 1033551908 | Genoa Healthcare, LLC | Pharmacy | 2695 E Industrial Dr, Flagstaff, AZ 86004-6109 | 2013-07-22 |
| 1659655843 | Lenore A Goetzke | Pharmacist | 2695 E Industrial Dr, Flagstaff, AZ 86004-6109 | 2011-10-05 |
| 1831473024 | Melinda Dowers | Pharmacist | 2695 E Industrial Dr, Flagstaff, AZ 86004-6109 | 2011-10-05 |
| 1730483082 | Elisa Stephens | Registered Nurse | 2695 E Industrial Dr, Flagstaff, AZ 86004-6109 | 2010-12-30 |
| 1952536708 | Kimberly Shumway Miner | Social Worker | 2695 E Industrial Dr, Flagstaff, AZ 86004-6109 | 2009-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387805 | Michael Joseph Oxtoby | Counselor | 2625 N. King St., Flagstaff, AZ 86004 | 2020-05-08 |
| 1083264501 | Dazhoni Elizabeth Scott | Counselor | 1500 E. Cedar Avenue #26, 2110 N. East St Apt C, Flagstaff, AZ 86004 | 2019-09-17 |
| 1760948046 | Emily Bauerle | Social Worker | 3009 N West St, Flagstaff, AZ 86004 | 2019-02-12 |
| 1992295745 | Kaibab Behavioral Services, Pllc | Behavioral Analyst | 2323 E Greenlaw Lane, Suite 12a, Flagstaff, AZ 86004 | 2018-05-17 |
| 1083115364 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 8800 Marys Drive, Flagstaff, AZ 86004 | 2018-02-22 |
| 1710391081 | Janet Coleman | Hearing Instrument Specialist | 1851 E Butler Avenue, Flagstaff, AZ 86004 | 2014-06-16 |
| 1568703163 | Mercy Timoh | Pharmacist | 4255 E. Soliere Ave., Flagstaff, AZ 86004 | 2013-03-06 |
| 1053617217 | Scott Nichols | Veterinarian | 6122 Abineau Canyon Drive, Flagstaff, AZ 86004 | 2011-02-07 |
| 1366745218 | Karoline S. Mariano | Registered Nurse | 3480 East Route 66, Flagstaff, AZ 86004 | 2010-12-15 |
| 1912209719 | Payal Parekh | Pharmacist | 1500 E Cedar, Flagstaff, AZ 86004 | 2010-11-30 |
| Find all providers in zip 86004 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922621242 | Suzanne Andry Botello | Counselor | 1538 W Daydream Dr, Flagstaff, AZ 86001-7212 | 2020-05-20 |
| 1598387805 | Michael Joseph Oxtoby | Counselor | 2625 N. King St., Flagstaff, AZ 86004 | 2020-05-08 |
| 1083264501 | Dazhoni Elizabeth Scott | Counselor | 1500 E. Cedar Avenue #26, 2110 N. East St Apt C, Flagstaff, AZ 86004 | 2019-09-17 |
| 1104473610 | Brenda Faye Manthei | Counselor | 1500 E Cedar Ave Ste 26&52, Flagstaff, AZ 86004-1641 | 2019-08-20 |
| 1316468721 | Aaron Alan Rasband | Counselor | 1500 E Cedar Ave Ste 26, Flagstaff, AZ 86004-1642 | 2017-07-06 |
| 1407391915 | Dianna Vansanford | Counselor | 2187 N Vickey St Ste A, Flagstaff, AZ 86004-6121 | 2016-12-20 |
| 1649423724 | Nicole Carson Degomez | Counselor | 1016 W. University #202, Flagstaff, AZ 86001 | 2008-11-03 |
| 1609077312 | Summit Counseling Services, P.C. | Counselor | 2677 E 7th Ave Ste 4, Flagstaff, AZ 86004-3739 | 2007-05-30 |
| 1114083615 | Sherri Lynn Corcoran | Counselor | 408 N Kendrick St Ste 3, Flagstaff, AZ 86001-1582 | 2006-12-29 |
| 1033274329 | Phyllis Helen Mettlin | Counselor | 2619 N Fremont Blvd, Flagstaff, AZ 86001-1013 | 2006-12-27 |
| Find all providers in FLAGSTAFF | ||||
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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.