TIFFANY WATSON (NPI# 1578007571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578007571 |
| Entity Type | Individual |
| Full Name | TIFFANY WATSON |
| Credential | CNP |
| Practice Address |
12217 Champlin Dr Champlin MN 55316-1930 |
| Practice Telephone | 7633231492 |
| Mailing Telephone | 7633231492 |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2016-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 186206-9 | MN | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4912 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366992885 | Tiffany Watson | Occupational Therapy Assistant | 20 Beeler Cut Off, Lawrenceburg, TN 38464-6507 | 2016-10-07 |
| 1467804054 | Tiffany Alena Watson | Nurse's Aide | 709 E Church Ln, Philadelphia, PA 19144-1436 | 2016-07-07 |
| 1013378074 | Tiffany Watson | Behavioral Analyst | 3318 N. Decatur Blvd Apt 1164, Las Vegas, NV 89130 | 2016-03-17 |
| 1003226887 | Tiffany Denise Watson | Nurse's Aide | 733 Sw Cr 242-a, Lake City, FL 32025 | 2014-05-02 |
| 1750411567 | Tiffany N Watson | Massage Therapist | 6395 Keizer Station Blvd. #103, Keizer, OR 97303 | 2007-03-07 |
| 1093338709 | Tiffany Leigh Watson | Student in an Organized Health Care Education/Training Program | 850 Peter Bryce Blvd, Tuscaloosa, AL 35401-7457 | 2020-05-28 |
| 1093362360 | Tiffany Watson | Behavioral Analyst | 6601 Mcdivitt Dr, Bakersfield, CA 93313-2049 | 2019-08-21 |
| 1629485479 | Tiffany Watson | Technician, Other | 4575 Se Dixie Hwy, Stuart, FL 34997-6826 | 2014-07-14 |
| 1518386044 | Tiffany Watson | Counselor | 105 Hamilton Ave, Staten Island, NY 10301-1610 | 2014-04-11 |
| 1700225828 | Tiffany Danielle Watson | Physical Therapist | 1574 S Pearl St, Denver, CO 80210-2635 | 2013-06-21 |
| Street Address |
12217 CHAMPLIN DR |
| City | CHAMPLIN |
| State | MN |
| Zip Code | 55316-1930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164426607 | Jay Patrick Bertsch | Chiropractor | 12217 Champlin Dr, Champlin, MN 55316-1930 | 2005-06-13 |
| 1215409206 | Haley Ann Bertsch | Chiropractor | 12217 Champlin Dr, Champlin, MN 55316-1930 | 2019-01-02 |
| 1518416247 | Erik Starr | Chiropractor | 12217 Champlin Dr, Champlin, MN 55316-1930 | 2016-09-22 |
| 1659662252 | Lori Jokinen | Chiropractor | 12217 Champlin Dr, Champlin, MN 55316-1930 | 2011-04-29 |
| 1609056902 | Cheri M Nelson | Massage Therapist | 12217 Champlin Dr, Champlin, MN 55316-1930 | 2007-11-05 |
| 1790803187 | Maria Eyberg | Physical Therapist | 12217 Champlin Dr, Champlin, MN 55316-1930 | 2007-03-26 |
| 1508953126 | Andrea Newport | Physical Therapist | 12217 Champlin Dr, Champlin, MN 55316-1930 | 2006-10-06 |
| 1588755391 | Anne Adix | Specialist | 12217 Champlin Dr, Champlin, MN 55316-1930 | 2006-09-27 |
| 1457458689 | Team Health Care Clinic, PC | Chiropractor | 12217 Champlin Dr, Champlin, MN 55316-1930 | 2006-09-20 |
| 1295731503 | Joseph Alan Bertsch | Chiropractor | 12217 Champlin Dr, Champlin, MN 55316-1930 | 2005-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493903 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 11995 Business Park Blvd N, Champlin, MN 55316 | 2020-10-02 |
| 1598300675 | Dentalign, Pa | Dentist | 11942 Business Park Blvd, Champlin, MN 55316 | 2019-11-12 |
| 1811463573 | Vikings Home Health Care LLC | Meals | 11551 Georgia Ave, N, Champlin, MN 55316 | 2018-10-22 |
| 1255853305 | Matthew L Boelter | Hearing Instrument Specialist | 11451 Oregon Ave N, Champlin, MN 55316 | 2017-07-11 |
| 1194198309 | Champlin Dentistry, PC | Dentist | 11231 Aquila Drive N, Champlin, MN 55316 | 2015-11-10 |
| 1336557412 | Kelsey Voigt | Pharmacist | 11990 Business Park Blvd, Champlin, MN 55316 | 2014-08-01 |
| 1346502523 | Transitions Home Care Ltd | Home Health | 11030 Douglas Drive North, Champlin, MN 55316 | 2012-06-13 |
| 1639373285 | Michael D Smilanich | Dentist | 11231 Aquila Dr N, Champlin, MN 55316 | 2007-06-14 |
| 1760532907 | Kurt Allan Bender | Dentist | 500 A Jefferson Hwy, Champlin, MN 55316 | 2007-01-11 |
| 1366529752 | Gregory Allan Holmberg | Chiropractor | #8 3rd Street Nw, Osseo, MN 55316 | 2006-11-01 |
| Find all providers in zip 55316 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060121 | Miranda Helmers | Nurse Practitioner | 9203 124th Pl N, Champlin, MN 55316-1934 | 2020-07-08 |
| 1629554449 | Amy Rasmussen | Nurse Practitioner | 11269 Jefferson Hwy N Fl 1, Champlin, MN 55316-3123 | 2018-07-15 |
| 1720042625 | Jan Elaine Youngblood | Nurse Practitioner | 11990 Business Park Blvd N, Champlin, MN 55316-2005 | 2006-04-17 |
| 1598722308 | Janet M Siciliano | Nurse Practitioner | 11269 Jefferson Hwy N, Champlin, MN 55316-3123 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466368 | Amalia Jo Folland Harvey | Nurse Practitioner | 19883 Evensong Ct, Farmington, MN 55024-8688 | 2020-10-29 |
| 1710586235 | Jackelyn Laura Peterson | Nurse Practitioner | 10101 Bren Rd E Unit 345, Minnetonka, MN 55343-0060 | 2020-10-26 |
| 1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
| 1861091704 | Morgan Rohl | Nurse Practitioner | 117 12th Ave Nw Apt 2, Rochester, MN 55901-2787 | 2020-10-21 |
| 1063010304 | Kalie R Mccauley | Nurse Practitioner | 11452 Brook Rd Nw, Elk River, MN 55330-8739 | 2020-10-09 |
| 1659978930 | Sarah Jean Mudge | Nurse Practitioner | 350 Harbor Dr, Duluth, MN 55802-2600 | 2020-10-08 |
| 1285231621 | Karlu Dorleh | Nurse Practitioner | 14151 Territorial Rd Unit 212, Maple Grove, MN 55369-5725 | 2020-10-08 |
| 1447857669 | Kimberly Dawn Bursch-tewalt | Nurse Practitioner | 11884 237th Ave Nw, Elk River, MN 55330-8255 | 2020-10-01 |
| 1639786312 | Peter Wahl | Nurse Practitioner | 4652 Lyndale Ave S, Minneapolis, MN 55419-5302 | 2020-09-28 |
| 1568078616 | Joanna Kay Rehm | Nurse Practitioner | 3025 Eagandale Pl Apt 338, Eagan, MN 55121-1236 | 2020-09-23 |
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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.