TIFFANY WALLACE (NPI# 1972901825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
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 |
Street Address |
1501 5TH AVE N |
City | ST PETERSBURG |
State | FL |
Zip Code | 33705-2008 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 33705 |
Taxonomy Code | 247200000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Technician, Other |
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. |
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 |
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 |
Find all providers with the same taxonomy |
City | ST PETERSBURG |
Zip Code | 33705 |
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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.