MRS. TIFFANY SHEA DECKER (NPI# 1003245218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003245218 |
| Entity Type | Individual |
| Full Name | MRS. TIFFANY SHEA DECKER |
| Other Name | MISS TIFFANY SHEA RIBORDY |
| Credential | RNC, NNP-BC |
| Practice Address |
602 Indiana Ave Lubbock TX 79415-3364 |
| Practice Telephone | 8067758808 |
| Mailing Telephone | 8067758808 |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2014-01-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WN0002X |
Registered Nurse Specialization: Neonatal Intensive Care |
720968 | TX | Nursing Service Providers |
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
720968 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689924508 | Tiffany D Decker | Doula | 1266 Ne 56th Ct, Hillsboro, OR 97124-6151 | 2012-09-18 |
| 1598268120 | Tiffany Blair Decker | Occupational Therapy Assistant | 2400 Westport Pkwy Ste 1300, Fort Worth, TX 76177-5316 | 2018-03-09 |
| Street Address |
602 INDIANA AVE |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79415-3364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487659876 | Mark Brendan Reedy | Obstetrics & Gynecology | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2005-06-14 |
| 1417571613 | Chelsea Brooke Seaton | Student in an Organized Health Care Education/Training Program | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2020-06-03 |
| 1437773728 | John Clinton Fisher IIi | Student in an Organized Health Care Education/Training Program | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2020-06-02 |
| 1700409448 | Ryan Everett Hirata | Student in an Organized Health Care Education/Training Program | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2020-05-28 |
| 1013530716 | Lillian Amezquita | Student in an Organized Health Care Education/Training Program | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2020-05-28 |
| 1457990186 | Madison Dreu Williams | Registered Nurse | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2019-12-28 |
| 1972145977 | Alicia Garcia Castanon | Nurse Practitioner | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2019-10-10 |
| 1770133746 | Candace Kernell | Registered Nurse | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2019-09-12 |
| 1154883767 | James William Woodwick Jr. | Nurse Practitioner | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2019-04-02 |
| 1811455066 | Rolando Adolfo Lugo II | Nurse Practitioner | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2019-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831569540 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3502 9th St Ste 280, Lubbock, TX 79415 | 2015-10-07 |
| 1922447457 | Fnu Parijat Kumar | Physical Therapist | 2717 3rd Street, Aptt 803, Lubbock, TX 79415 | 2013-06-18 |
| 1851575906 | Diego Rivera, M.d., P.a. | Family Medicine | 111 University Ave, Lubbock, TX 79415 | 2007-12-26 |
| 1730206632 | Kathleen Brinkman Felts | Physical Therapist | 3710 4th Street, Lubbock, TX 79415 | 2007-03-23 |
| 1568508521 | Horace Rueben Sharp Jr. | Optometrist | 1911 4th St, Lubbock, TX 79415 | 2007-01-29 |
| 1699876201 | Patricia R. Arledge | Plastic Surgery | 3502 9th St., Suite 270, Lubbock, TX 79415 | 2006-09-26 |
| 1245330018 | Perlita Molina Sambrano-tandoc | Nurse Practitioner | 602 East Indiana Avenue, Lubbock, TX 79415 | 2006-09-22 |
| 1639199862 | Justin Tidwell | Emergency Medicine | 604 Indiana, Lubbock, TX 79415 | 2006-07-20 |
| 1912944059 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3301 Clovis Road, Lubbock, TX 79415 | 2006-05-31 |
| 1497709265 | Byron Wayne Schoettle | Radiology | 602 Indiana Avenue, Lubbock, TX 79415 | 2006-05-19 |
| Find all providers in zip 79415 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275005233 | Shanna Diane Morrow | Nurse Practitioner | 4015 22nd Pl, Lubbock, TX 79410-1119 | 2018-12-31 |
| 1144733262 | Kira Cox | Nurse Practitioner | 4015 22nd Pl, Lubbock, TX 79410-1119 | 2017-11-10 |
| 1316484538 | Haley Rowden | Nurse Practitioner | 4015 22nd Pl, Lubbock, TX 79410-1119 | 2017-01-25 |
| 1598010829 | Cassidy Jeannette Luna | Nurse Practitioner | 6809 Slide Rd, Lubbock, TX 79424-1517 | 2012-07-24 |
| 1164696001 | Sherry Andrews | Nurse Practitioner | 3606 21st St, Lubbock, TX 79410-1226 | 2008-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528528817 | Kensey Duncan | Nurse Practitioner | 6431 Fannin St # 3.242, Houston, TX 77030-1501 | 2019-03-22 |
| 1750840286 | Jissel Odette Espinoza | Nurse Practitioner | 8710 N 29th Ln, Mcallen, TX 78504-5982 | 2019-03-14 |
| 1184183659 | Enedelia Reyna | Nurse Practitioner | 222 E Ridge Rd Ste 202, Mcallen, TX 78503-1251 | 2019-03-14 |
| 1134688757 | Nancy Elizabeth Lane | Nurse Practitioner | 6310 Eagle Creek Dr, Flower Mound, TX 75028-2464 | 2019-03-13 |
| 1043781701 | Lisa Vercellino Salazar | Nurse Practitioner | The Woman's Hospital of Texas, 7600 Fannin, Houston, TX 77054 | 2018-12-06 |
| 1043746324 | Maria V Gutierrez | Nurse Practitioner | 1694 Zamora Dr, Brownsville, TX 78526-1997 | 2017-05-05 |
| 1578003786 | Briana Donise Blackstock | Nurse Practitioner | 210 Longhorn Blvd, Wolfforth, TX 79382-5322 | 2017-03-07 |
| 1619413911 | Richard Dunn | Nurse Practitioner | 1129 Birch St, Hurst, TX 76053-4301 | 2017-01-10 |
| 1245781830 | Lisa Marie Elizalde | Nurse Practitioner | 902 S Loop 499 Apt N4, Harlingen, TX 78550-2522 | 2016-10-18 |
| 1972050540 | Daniel Renteria I | Nurse Practitioner | 3280 Joe Battle Blvd., El Paso, TX 79936 | 2016-09-01 |
| 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.