MRS. TIFFANY BRENDA JOY ROBERTS (NPI# 1629448543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629448543 |
| Entity Type | Individual |
| Full Name | MRS. TIFFANY BRENDA JOY ROBERTS |
| Other Name | MS. TIFFANY HOLLENBECK |
| Practice Address |
2905 Highway 77 Panama City FL 32405-5013 |
| Practice Telephone | 8502575527 |
| Practice Fax Number | 8502583902 |
| Mailing Telephone | 8502575527 |
| Mailing Fax Number | 8502583902 |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2016-08-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
ARNP9398714 | FL | Physician Assistants & Advanced Practice Nursing 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 |
| 1659791424 | Tiffany Marie Roberts | Nurse Practitioner | 13700 Pride Port Hudson Rd, Pride, LA 70770-9200 | 2014-04-21 |
| Street Address |
2905 HIGHWAY 77 |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32405-5013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861458424 | Phillip Wayne Blaich | Physician Assistant | 2905 Highway 77, Panama City, FL 32405 | 2006-04-24 |
| 1679027254 | Janie Pitts | Nurse Practitioner | 2905 Highway 77, Panama City, FL 32405-5013 | 2016-08-11 |
| 1134569049 | Rainbow Pediatrics PC LLC | Pediatrics | 2905 Highway 77, Panama City, FL 32405-5013 | 2013-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
| 1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
| 1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
| 1063991917 | Patricia Kagendo Mutunga | Day Training, Developmentally Disabled Services | 2813 Fairmont Dr, Panama City, FL 32405 | 2018-08-11 |
| 1871087882 | Southeastern Dermatology Group Pa | Pharmacy | 2505 Harrison Ave Ste A, Panama City, FL 32405 | 2018-06-22 |
| 1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
| 1437658424 | Coastal Mobility Transportation, LLC | Non-emergency Medical Transport (VAN) | 203 Forest Park Circle, Panama City, FL 32405 | 2018-02-06 |
| 1003314915 | The Anti-aging Clinic of Northwest Florida | Obstetrics & Gynecology | 3019 Osprey Cir, Panama City, FL 32405 | 2018-01-25 |
| 1255848487 | Sarah Theriot | Social Worker | 700 W 23rd St Bldg H, Panama City, FL 32405 | 2018-01-09 |
| 1336686054 | Angela Leake | Registered Nurse | 449 W 23 St, Panama City, FL 32405 | 2017-01-20 |
| Find all providers in zip 32405 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263335 | Summer Leigh Moran | Nurse Practitioner | 528 W Baldwin Rd # A, Panama City, FL 32405-3313 | 2020-04-01 |
| 1326482381 | Lydia Ann Rosenberger | Nurse Practitioner | 3520 East 15th Streett, Panama City, FL 32404 | 2013-04-22 |
| 1285802496 | Stephanie V David | Nurse Practitioner | 625 W Baldwin Rd Ste D, Panama City, FL 32405-3359 | 2008-02-11 |
| 1841327038 | Beverly Crawford | Nurse Practitioner | 621 W Baldwin Rd Ste A, Ste 102, Panama City, FL 32405-3364 | 2007-02-27 |
| 1073578340 | Kara Boudreaux Turner | Nurse Practitioner | 621 W Baldwin Rd, Suite A, Panama City, FL 32405-3364 | 2006-04-19 |
| 1902368517 | Jessica Michelle Teplicek | Nurse Practitioner | 748 Harrison Ave, Panama City, FL 32401-2524 | 2019-04-02 |
| 1679027254 | Janie Pitts | Nurse Practitioner | 2905 Highway 77, Panama City, FL 32405-5013 | 2016-08-11 |
| 1952635427 | Karen Indra Riggs | Nurse Practitioner | 2933 Martin Luther King Jr Blvd, Panama City, FL 32405-4411 | 2009-09-30 |
| 1891909123 | Catherine L Glidden | Nurse Practitioner | 2550 Jenks Ave, Panama City, FL 32405-4310 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417072 | Carmen Moreno | Nurse Practitioner | 336 Golfview Rd Apt 909, North Palm Beach, FL 33408-3512 | 2020-11-05 |
| 1366043614 | Christi Koshy | Nurse Practitioner | 4025 N Nob Hill Rd Apt 207, Sunrise, FL 33351-5811 | 2020-11-03 |
| 1730789322 | Michelle Yen-vera | Nurse Practitioner | 18409 Nw 9th Ct, Pembroke Pines, FL 33029-3607 | 2020-11-01 |
| 1376143487 | Aimee N Jorgenson Stough | Nurse Practitioner | 91550 Overseas Hwy Ste 209, Tavernier, FL 33070-2513 | 2020-10-28 |
| 1588271233 | Olivia Janelle De Jong | Nurse Practitioner | 424 Ne 6th St Apt D, Gainesville, FL 32601-5576 | 2020-09-28 |
| 1801407796 | Elisabeth Morley Chinlund | Nurse Practitioner | 445 Delmar Ter S Apt 5, Saint Petersburg, FL 33701-4653 | 2020-08-13 |
| 1972113025 | Nicole Horn | Nurse Practitioner | 8095 Spyglass Hill Rd Ste 104, Melbourne, FL 32940-8290 | 2020-08-04 |
| 1073131850 | Olivia Dawn Wilson | Nurse Practitioner | 5105 Clover Mist Dr, Apollo Beach, FL 33572-3417 | 2020-07-08 |
| 1427687565 | Cortney M Starr | Nurse Practitioner | 2261 Kingfisher Ln, Clearwater, FL 33762-3323 | 2020-04-01 |
| 1316573108 | Alceste Villasuso | Nurse Practitioner | 951 Brickell Ave Apt 710, Miami, FL 33131-3933 | 2020-03-12 |
| Find all providers with the same taxonomy | ||||
| City | PANAMA CITY |
| Zip Code | 32405 |
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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.