TIFFANY KIDD (NPI# 1033464136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033464136 |
| Entity Type | Individual |
| Full Name | TIFFANY KIDD |
| Credential | ATC |
| Practice Address |
1325 San Marco Blvd Suite 102 Jacksonville FL 32207-8568 |
| Practice Telephone | 9048587045 |
| Practice Fax Number | 9048587047 |
| Mailing Telephone | 9048587045 |
| Mailing Fax Number | 9048587047 |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2012-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL1332 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service 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 |
| 1770749624 | Tiffany Leigh Kidd | Nurse Practitioner | 105 Richeson Dr, Lynchburg, VA 24501-2911 | 2008-07-30 |
| Street Address |
1325 SAN MARCO BLVD SUITE 102 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-8568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730183500 | Philip R. Hardy | Orthopaedic Surgery | 1325 San Marco Blvd, Ste 200, Jacksonville, FL 32207-8566 | 2005-06-09 |
| 1730794496 | Rachel Keene | Specialist/Technologist | 1325 San Marco Blvd, Jacksonville, FL 32207-8568 | 2020-09-10 |
| 1396201638 | Neutt Dellareeda King | Nurse Practitioner | 1325 San Marco Blvd, Jacksonville, FL 32207-8568 | 2019-02-12 |
| 1396282836 | Peter Christopher Mcdermott | Nurse Practitioner | 1325 San Marco Blvd, 300, Jacksonville, FL 32207-8568 | 2017-01-23 |
| 1215472014 | Lindsay Moore | Nurse Practitioner | 1325 San Marco Blvd, Reid Building Ste 300, Jacksonville, FL 32207-8568 | 2017-01-03 |
| 1659828994 | Aimee Roberts-serrato | Nurse Practitioner | 1325 San Marco Blvd, Suite 200, Jacksonville, FL 32207-8568 | 2016-09-03 |
| 1265985030 | Laran Phelps | Massage Therapist | 1325 San Marco Blvd, Suite 102, Jacksonville, FL 32207-8568 | 2016-07-28 |
| 1497108310 | Kelly Jackson | Massage Therapist | 1325 San Marco Blvd, Suite 102, Jacksonville, FL 32207-8568 | 2016-07-15 |
| 1376902221 | Joshua Jackson | Nurse Practitioner | 1325 San Marco Blvd, Reid Bldg., Suite 300, Jacksonville, FL 32207-8568 | 2016-02-21 |
| 1063889814 | Emily Lisa Rea | Nurse Practitioner | 1325 San Marco Blvd, Reid Building Suite 300, Jacksonville, FL 32207-8568 | 2015-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423880 | Amber Simerly Magliocca | Specialist/Technologist | 410 New Bridge St Ste 7b, Jacksonville, NC 28540-4759 | 2020-09-25 |
| 1730717091 | Bryan M Langan | Specialist/Technologist | 8 Sunnydale Ave, Jacksonville, IL 62650-2656 | 2020-03-31 |
| 1184257065 | Tory Ann Cooper | Specialist/Technologist | 8136 Pine Springs Ln, Jacksonville, FL 32244-7445 | 2020-02-19 |
| 1356974372 | Noelle Parker | Specialist/Technologist | 1 Unf Drivve, Jacksonville, FL 32224 | 2020-02-18 |
| 1194360008 | Shaylee Jade Fouts | Specialist/Technologist | 1210 Corinth Rd, Jacksonville, TX 75766-3208 | 2019-11-14 |
| 1700436144 | Griffin Loflin | Specialist/Technologist | 775 Park Ave Nw, Attn. Sports Medicine, Jacksonville, AL 36265 | 2019-09-17 |
| 1124685102 | Charcy Rene Stiller | Specialist/Technologist | 1 Unf Dr., Jacksonville, FL 32224 | 2019-05-24 |
| 1639733975 | Logen Izzak Hirn | Specialist/Technologist | 141 Lakewood Dr, Jacksonville, NC 28546-4633 | 2019-04-23 |
| 1568924348 | Thomas Bradley Vickers | Specialist/Technologist | 11911 Cornelius St, Jacksonville, FL 32246-4004 | 2019-04-02 |
| 1063971729 | Leonardo Sierra | Specialist/Technologist | 11057 Stutz Ct, Jacksonville, FL 32246-1401 | 2019-03-13 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
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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.