TIFFANY WALLACE


Address: 1501 5th Ave N, St Petersburg, FL 33705-2008
Phone: 7278968686

TIFFANY WALLACE (NPI# 1972901825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972901825
Entity Type Individual
Full Name TIFFANY WALLACE
Practice Address 1501 5th Ave N
St Petersburg
FL 33705-2008
Practice Telephone 7278968686
Practice Fax Number 7278989596
Mailing Telephone 7278968686
Mailing Fax Number 7278989596
Enumeration Date 2014-12-09
Last Update Date 2014-12-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 247200000X Technician, Other Technologists, Technicians & Other Technical Service Providers

Other Providers TIFFANY WALLACE

NPI Name Taxonomy Address Enumeration
1417563735 Tiffany R Wallace Technician 78 4th Ave Apt 3, Montgomery, WV 25136-2434 2020-09-22
1841794914 Tiffany Wallace Occupational Therapy Assistant 1271 Stationside Dr, Oakland, FL 34787-8944 2018-03-22
1184995268 Tiffany Wallace Registered Nurse 584 Thomas S Boyland St, Brooklyn, NY 11212-5044 2012-01-20
1689802662 Tiffany Dawn Wallace Physical Therapist 1717 S Orange Ave Ste 101, Orlando, FL 32806-2946 2009-06-29
1518264373 Tiffany Astra Wallace Case Manager/Care Coordinator 79 W Alexandrine St, Detroit, MI 48201-2015 2011-02-14
1760586176 Tiffany Lynn Wallace Psychologist 8623 N Wayne Road, Hegira Programs Inc Ste 310, Westland, MI 48185 2006-09-08

Office Location

Street Address 1501 5TH AVE N
City ST PETERSBURG
State FL
Zip Code 33705-2008

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356410443 Ricky P. Lockett Specialist 1501 5th Ave N, St Petersburg, FL 33705-2008 2006-11-06
1093221798 Quality of Life Dme Limited Liability Company Durable Medical Equipment & Medical Supplies 1501 5th Ave N, St Petersburg, FL 33705-2008 2017-12-18
1497291041 New Vision Behavioral Health Inc Community/Behavioral Health 1501 5th Ave N, St Petersburg, FL 33705-2008 2017-01-06
1730546151 Alyson Watson Physician Assistant 1501 5th Ave N, St Petersburg, FL 33705-2008 2016-01-15
1295133189 Joseph D Little Jr. Technician, Other 1501 5th Ave N, St Petersburg, FL 33705-2008 2014-12-09
1700284650 Kelly Lemming Technician, Other 1501 5th Ave N, St Petersburg, FL 33705-2008 2014-12-09
1831597731 Ariel Adkins Technician, Other 1501 5th Ave N, St Petersburg, FL 33705-2008 2014-12-09
1609274695 Barbara Hopkins-hockman Technician, Other 1501 5th Ave N, St Petersburg, FL 33705-2008 2014-12-08
1679971667 Larry Jackson Specialist 1501 5th Ave N, St Petersburg, FL 33705-2008 2014-12-08
1164869681 Geoffrey J. Gibson Do Pa Physical Medicine & Rehabilitation 1501 5th Ave N, St Petersburg, FL 33705-2008 2013-05-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154935781 Caressa Alice Slocum Psychologist 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 2020-09-01
1386133015 Angela Ann Little Social Worker 920 Country Club Way S, St Petersburg, FL 33705 2018-05-08
1497279483 Infinity Health Consultants, LLC. In Home Supportive Care 1001 27th Avenue South, St. Petersburg, FL 33705 2017-08-01
1801320528 Dedicated Senior Medical Center St. Petersburg, LLC. Non-Pharmacy Dispensing Site 901 22nd Avenue South, Dedicated Senior Medical Center St. Petersburg, LLC., St. Petersburg, FL 33705 2017-04-19
1790135762 Robin Dong Emergency Medicine 1095 5th Ave N, St. Petersburg, FL 33705 2016-06-20
1437550084 Community Health Center of Pinellas Inc Clinic/Center 612 Dr Martin L King St N, St Petersburg, FL 33705 2014-09-12
1164851754 Jennifer Carey Counselor 11 Mlk Jr St South, St. Petersburg, FL 33705 2013-11-05
1750623997 Dannaly Reyes Baerga Physical Medicine & Rehabilitation 1201 5th Ave N Ste 202, St Petersburg, FL 33705 2013-03-26
1518209055 Nii Sai Torto Emergency Medicine 500 Doctor. M.l.k, Jr. Street North, Ste 303, Saint Petersburg, FL 33705 2013-03-22
1790034635 Melissa White Kidwell Physical Therapist 500 Mlking Street N, Ste 100, St. Petersburg, FL 33705 2012-09-06
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Taxonomy Information

Taxonomy Code 247200000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Technician, Other

Taxonomy Definition

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295133189 Joseph D Little Jr. Technician, Other 1501 5th Ave N, St Petersburg, FL 33705-2008 2014-12-09
1700284650 Kelly Lemming Technician, Other 1501 5th Ave N, St Petersburg, FL 33705-2008 2014-12-09
1831597731 Ariel Adkins Technician, Other 1501 5th Ave N, St Petersburg, FL 33705-2008 2014-12-09
1609274695 Barbara Hopkins-hockman Technician, Other 1501 5th Ave N, St Petersburg, FL 33705-2008 2014-12-08
1770728107 Gabriel P Hogg Technician, Other 600 8th Ave Se, St Petersburg, FL 33701-5030 2008-12-15
1992893887 Us Coast Guard Technician, Other 600 8th Ave Se, St Petersburg, FL 33701-5030 2006-10-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295340479 Jeanine Davis Technician, Other 3540 Nw 8th St, Lauderhill, FL 33311-6416 2020-09-14
1376158188 Michael Blake Atlas Technician, Other 1242 Ginger Cir, Weston, FL 33326-3627 2020-09-09
1104439579 Amaury Li Technician, Other 265 Highgate Park Blvd, Davenport, FL 33897-7732 2020-08-26
1831709864 Odayme Sanchez Technician, Other 11520 Sw 57th Ter, Miami, FL 33173-1012 2020-08-04
1700496106 Ilia De Los Angeles Diaz Moure Technician, Other 4705 Nw 7th St Apt 305-7, Miami, FL 33126-2259 2020-07-31
1619585932 Skyler Mebane Technician, Other 1818 S Australian Ave Ste 240, West Palm Beach, FL 33409-6452 2020-07-22
1568092112 Charity Marie Majors Technician, Other 714 Venetian Way, Panama City, FL 32405-7502 2020-01-23
1750911285 Denisse Ramirez Technician, Other 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 2020-01-23
1225675226 Mended Minds Corp. Technician, Other 1625 N Commerce Pkwy Ste 300, Weston, FL 33326-3206 2019-12-09
1558906206 Jennifer Cornelius Technician, Other 26 Sw 7th Ave, Dania, FL 33004-3215 2019-11-15
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Competitor

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City ST PETERSBURG
Zip Code 33705

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Dataset Information

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.

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