MRS. TIFFANI DICKERSON (NPI# 1871127514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871127514 |
| Entity Type | Individual |
| Full Name | MRS. TIFFANI DICKERSON |
| Other Name | TIFFANI ROQUE |
| Credential | RN-IBCLC |
| Practice Address |
701 Deer Creek Dr Desoto TX 75115-3650 |
| Practice Telephone | 2142075179 |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
764609 | TX | Nursing Service Providers |
| Street Address |
701 DEER CREEK DR |
| City | DESOTO |
| State | TX |
| Zip Code | 75115-3650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860257 | Emeka Abazie Dds Pa | Dentist | 1001 N. Beckley, Suite 304, Desoto, TX 75115 | 2020-10-30 |
| 1407453384 | Heather Mcdowell | Massage Therapist | 100 Bob White St # 3, Desoto, TX 75115 | 2020-10-05 |
| 1295201580 | Daniel Max & Marcandrea, LLC | Optometrist | 1309 E. Pleasant Run Rd, Desoto, TX 75115 | 2018-10-15 |
| 1316432180 | Texas Home Health Group of De Soto, LLC | Home Health | 911 York Drive, Suite 203, De Soto, TX 75115 | 2018-06-25 |
| 1033606694 | Dental Health Associates of Texas, PC | Dentist | 1001 N Beckley, Desoto, TX 75115 | 2018-04-19 |
| 1023516093 | Joseph Chinaecherem Anya | Pharmacist | 805 Raintree Ln, Desoto, TX 75115 | 2018-01-25 |
| 1396253837 | Medical Care Innovation, P.C. | Clinic/Center | 2019 N Interstate 35 E, Desoto, TX 75115 | 2018-01-18 |
| 1124534888 | Herlonda Dotson | Counselor | 620 Candelila Drive, Desoto, TX 75115 | 2017-12-18 |
| 1053839548 | Floristene Johnson | Nutritionist | 1353 Armstrong Drive, Desoto, TX 75115 | 2017-09-05 |
| 1699290577 | Dlb Pharmacy LLC | Pharmacy | 1801 N Hampton, Suite 340, Desoto, TX 75115 | 2017-08-11 |
| Find all providers in zip 75115 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538769609 | Debra Doris Iarussi | Registered Nurse | 16511 Curio Gray Trl, Cypress, TX 77433-6232 | 2020-10-28 |
| 1659984508 | Kathy Gabel | Registered Nurse | 18803 N Blanco Bend Dr, Cypress, TX 77433-3116 | 2020-08-28 |
| 1629689161 | Alice Maria Stegmann | Registered Nurse | 13355 N Us Highway 183 Apt 1611, Austin, TX 78750-7144 | 2020-08-10 |
| 1073123428 | Alexandra Fores | Registered Nurse | 1621 Lakeville Dr Ste 304, Kingwood, TX 77339-2694 | 2020-07-31 |
| 1417571266 | Samantha Kay Smith | Registered Nurse | 7510 Angelwing Dr, Corpus Christi, TX 78414-6081 | 2020-06-07 |
| 1649894247 | Mary Kay Rybiski | Registered Nurse | 360 Waterloo Dr, Kyle, TX 78640-6554 | 2020-05-31 |
| 1245866110 | Alyssa Queen | Registered Nurse | 10309 Flatland Trl, Converse, TX 78109-1665 | 2020-03-23 |
| 1720619281 | Halie Overton | Registered Nurse | 3405 Harvard Ave, Dallas, TX 75205-3242 | 2020-02-03 |
| 1285264416 | Michele Gaudette | Registered Nurse | 4024 Penny Royal Dr, Fort Worth, TX 76244-6636 | 2020-01-15 |
| 1780221069 | Latch Ladies, LLC | Registered Nurse | 6416 Lansdale Rd, Fort Worth, TX 76116-1624 | 2019-12-05 |
| Find all providers with the same taxonomy | ||||
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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.