TIFFANI MARIE ZICHKO (NPI# 1588123806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588123806 |
| Entity Type | Individual |
| Full Name | TIFFANI MARIE ZICHKO |
| Other Name | TIFFANI MARIE CASALENUOVO |
| Credential | NP |
| Practice Address |
80 Vermont Ave Oak Ridge TN 37830-6474 |
| Practice Telephone | 8654824078 |
| Mailing Telephone | 8654824078 |
| Enumeration Date | 2019-03-16 |
| Last Update Date | 2020-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
24334 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q053000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8035 Roane Medical Center Dr, Harriman, TN 377488334 | 8653163625 |
| Street Address |
80 VERMONT AVE |
| City | OAK RIDGE |
| State | TN |
| Zip Code | 37830-6474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114972098 | Victor W Mclaughlin | Internal Medicine | 80 Vermont Ave, Oak Ridge, TN 37830-6474 | 2006-05-23 |
| 1003474354 | Jessica Lynn Hamby | Nurse Practitioner | 80 Vermont Ave, Oak Ridge, TN 37830-6474 | 2019-06-02 |
| 1013272962 | Laura A Cutler | Nurse Practitioner | 80 Vermont Ave, Oak Ridge, TN 37830-6474 | 2012-07-06 |
| 1679845713 | Michael V Stewart | Physician Assistant | 80 Vermont Ave, Oak Ridge, TN 37830-6474 | 2012-02-06 |
| 1699933846 | Carlos Antonio Montes | Internal Medicine | 80 Vermont Ave, Oak Ridge, TN 37830-6474 | 2008-05-23 |
| 1659567568 | Stephanie Anne Wilkerson | Nurse Practitioner | 80 Vermont Ave, Oak Ridge, TN 37830-6474 | 2007-09-25 |
| 1396944575 | Saadi Ahmad Siddiqi | Internal Medicine | 80 Vermont Ave, Oak Ridge, TN 37830-6474 | 2007-07-17 |
| 1457362659 | Rakesh Vohra | Internal Medicine | 80 Vermont Ave, Oak Ridge, TN 37830-6474 | 2006-08-11 |
| 1790721819 | Larry T Justice | Internal Medicine | 80 Vermont Ave, Oak Ridge, TN 37830-6474 | 2006-06-20 |
| 1174561971 | James Scott Halama | Internal Medicine | 80 Vermont Ave, Oak Ridge, TN 37830-6474 | 2006-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194388702 | Oak Ridge Pharmacy | Pharmacy | 854 Main St W, Oak Ridge, TN 37830 | 2019-04-18 |
| 1134682693 | Mac's Pharmacy Oak Ridge, LLC | Pharmacy | 45 New York Avenue, Oak Ridge, TN 37830 | 2019-04-11 |
| 1689153876 | Tapuwa Martin Chikowore | Dentist | 377 S Illinois Ave, Oak Ridge, TN 37830 | 2018-08-09 |
| 1710475660 | Oak Ridge Smiles Dentistry, PC | Dentist | 377 S. Illinois Ave., Oak Ridge, TN 37830 | 2018-04-26 |
| 1417344763 | Heather Cupp | Social Worker | 723 Emory Valley Road, Oak Ridge, TN 37830 | 2015-04-23 |
| 1366701534 | Quality Care From The Heart | Preferred Provider Organization | 144 Newport Drive, Oak Ridge, TN 37830 | 2012-05-09 |
| 1578838223 | Second Chance Recovery In Faith, Inc | Community/Behavioral Health | 234 W Tennessee Ave, Oak Ridge, TN 37830 | 2012-03-14 |
| 1720364615 | Douglas Miller | Pharmacist | 1299 Oak Ridge Turnpike, Oak Ridge, TN 37830 | 2011-10-24 |
| 1619263852 | Namratha Reddy Vontela | Internal Medicine | 200 New York Ave Ste 200, Oak Ridge, TN 37830 | 2011-06-27 |
| 1356658165 | Fred Lewis Stephens | Social Worker | 150 E Division Rd Ste 10, Oak Ridge, TN 37830 | 2010-09-01 |
| Find all providers in zip 37830 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902404080 | Ty Taubenheim | Nurse Practitioner | 109 Tamara Ln, Oak Ridge, TN 37830-6673 | 2020-10-12 |
| 1992241798 | Donna Johnson | Nurse Practitioner | 172 Glassboro Dr, Oak Ridge, TN 37830-5625 | 2017-01-17 |
| 1124446018 | Heather L Flynt | Nurse Practitioner | 8001 Marketplace Dr Ste A, Oak Ridge, NC 27310-9302 | 2014-03-28 |
| 1932489069 | Layne Cox Weaver | Nurse Practitioner | 1427a Nc Highway 68 N, Oak Ridge, NC 27310-9768 | 2011-08-20 |
| 1760705396 | Tracy L Jenkins | Nurse Practitioner | 687 Emory Valley Rd Ste A, Oak Ridge, TN 37830 | 2010-03-10 |
| 1265687339 | Dana Caroline Solomon | Nurse Practitioner | 2300 Oak Ridge Rd, Oak Ridge, NC 27310-9701 | 2008-11-17 |
| 1275661753 | Claudia Dale Hadden | Nurse Practitioner | 165 Waddell Cir, Oak Ridge, TN 37830-5142 | 2007-02-28 |
| 1811966484 | Sandra M Wade | Nurse Practitioner | 723 Emory Valley Rd, Oak Ridge, TN 37830-7017 | 2006-03-16 |
| 1215908462 | Bridget B. Peterson | Nurse Practitioner | 801 Oak Ridge Tpke, Oak Ridge, TN 37830-6916 | 2006-01-27 |
| 1336148519 | Portia S Hutchinson Ix | Nurse Practitioner | 653 Briarcliff Ave, Oak Ridge, TN 37830 | 2005-07-19 |
| Find all providers in OAK RIDGE | ||||
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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.