MRS. TIFFANY LEIGH KIDD (NPI# 1770749624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770749624 |
Entity Type | Individual |
Full Name | MRS. TIFFANY LEIGH KIDD |
Credential | MSN,PNP-BC |
Practice Address |
105 Richeson Dr Lynchburg VA 24501-2911 |
Practice Telephone | 4343857776 |
Mailing Telephone | 4343857776 |
Enumeration Date | 2008-07-30 |
Last Update Date | 2008-07-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
0024167929 | VA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295274819 | Tiffany Kidd | Case Manager/Care Coordinator | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2017-02-15 |
1194156919 | Tiffany L Kidd | Chiropractor | 9371 Cypress Lake Dr, Unit 2, Fort Myers, FL 33919-4939 | 2013-12-04 |
1215376280 | Tiffany A Kidd | Military Health Care Provider | Psc 451 Box 340, Fpo, AE 09834-0004 | 2013-06-22 |
1033464136 | Tiffany Kidd | Specialist/Technologist | 1325 San Marco Blvd, Suite 102, Jacksonville, FL 32207-8568 | 2012-07-16 |
Street Address |
105 RICHESON DR |
City | LYNCHBURG |
State | VA |
Zip Code | 24501-2911 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023075371 | Morgan S Mandeville | Pediatrics | 105 Richeson Dr, Lynchburg, VA 24501-2911 | 2006-04-28 |
1467678805 | Loan Trinh Kline | Pediatrics | 105 Richeson Dr, Lynchburg, VA 24501-2929 | 2007-04-17 |
1073618278 | Richeson Drive Pediatrics, Inc. | Pediatrics | 105 Richeson Dr, Lynchburg, VA 24501-2911 | 2006-09-13 |
1548228182 | Michael R Padilla | Pediatrics | 105 Richeson Dr, Lynchburg, VA 24501-2911 | 2006-05-03 |
1174581714 | Richard C Morris | Pediatrics | 105 Richeson Dr, Lynchburg, VA 24501-2911 | 2006-05-03 |
1194783878 | Bradley S Malcolm | Pediatrics | 105 Richeson Dr, Lynchburg, VA 24501-2911 | 2006-05-03 |
1730146895 | Robert Anthony Milanovich | Pediatrics | 105 Richeson Dr, Suite A, Lynchburg, VA 24501-2911 | 2006-05-01 |
1285691436 | Melody M Ailsworth | Pediatrics | 105 Richeson Dr, Lynchburg, VA 24501-2911 | 2006-04-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720606957 | Evidence Based Counseling Solutions | Speech-Language Pathologist | 302 Oakley Ave, Lynchburg, VA 24501 | 2020-07-14 |
1740805506 | Ryan Buschmann | Physical Therapist | 2400 Lakeside Drivve, Suite 602f, Lynchburg, VA 24501 | 2020-06-08 |
1528525276 | Julia M Mcauley-gonzalez | Nurse Practitioner | Cvfp Immediate Care - Airport, 14005 Wards Rd - Suite A, Lynchburg, VA 24501 | 2019-02-28 |
1548732795 | Morgan Rose Nails | Chiropractor | 3012 Forest Hills Circle, Lynchburg, VA 24501 | 2018-12-28 |
1407346935 | Belva Shelor | Psychologist | 1201 Floyd Street, Lynchburg, VA 24501 | 2018-05-10 |
1770092447 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 3204 Old Forest Rd, Lynchburg, VA 24501 | 2017-09-26 |
1447774518 | Restoring Peace Counseling Services | Clinic/Center | 3311 Old Forest Rd Ste 101, Lynchburg, VA 24501 | 2017-08-01 |
1427578335 | Vinh Thinh T Huynh | Family Medicine | 2323 Memorial Avenue, Suite #10, Lynchburg, VA 24501 | 2017-06-21 |
1811436769 | Jordan Legendre | Student in an Organized Health Care Education/Training Program | 2900 Weeping Willow Drive, Apt. I, Lynchburg, VA 24501 | 2017-02-13 |
1114465861 | Shanika Harris | Specialist/Technologist | 1501 Lakeside Drive, Lynchburg, VA 24501 | 2017-02-02 |
Find all providers in zip 24501 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053716233 | Danielle Kelly Foltz | Nurse Practitioner | Johnson Health Center, 320 Federal Street, Lynchburg, VA 24504 | 2014-10-30 |
1134728256 | Emily Anne Ledbetter | Nurse Practitioner | 2402 Atherholt Rd, Lynchburg, VA 24501-2148 | 2020-10-20 |
1881172401 | Melissa Hudson | Nurse Practitioner | 2919 Confederate Ave, Lynchburg, VA 24501-2435 | 2018-08-06 |
1114328200 | Meghann Bowyer | Nurse Practitioner | 2402 Atherholt Rd, Lynchburg, VA 24501-2148 | 2014-09-09 |
1699183533 | Virginia Petrikonis | Nurse Practitioner | 2919 Confederate Ave, Lynchburg, VA 24501-2435 | 2014-07-23 |
1770747214 | Susan Marie Warren | Nurse Practitioner | 2402 Atherholt Rd, Lynchburg, VA 24501 | 2008-07-14 |
1932239811 | Martina L Stevenson | Nurse Practitioner | 320 Federal St, Lynchburg, VA 24504-2306 | 2007-03-07 |
1497822399 | Marilyn Bumgarner | Nurse Practitioner | 1212 Mcconville Rd, Lynchburg, VA 24502-4536 | 2006-11-29 |
1831100189 | Anne Adams Norwood | Nurse Practitioner | 2402 Atherholt Rd, Lynchburg, VA 24501-2148 | 2006-08-11 |
1902851397 | Gail J Briceland | Nurse Practitioner | 1900 Thomson Dr, Lynchburg, VA 24501-1009 | 2006-05-23 |
Find all providers in LYNCHBURG |
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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.