MS. TIFFANY KENYA REDDING (NPI# 1043316433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043316433 |
| Entity Type | Individual |
| Full Name | MS. TIFFANY KENYA REDDING |
| Credential | BS, CAC-I |
| Practice Address |
19275 Northline Rd Southgate MI 48195-2220 |
| Mailing Address |
16715 Barberry St Apt A8 Southgate MI 48195-1545 |
| Practice Telephone | 7347857705 |
| Practice Fax Number | 7342871679 |
| Mailing Telephone | 7347857705 |
| Mailing Fax Number | 7342871679 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
820118 | MI | Behavioral Health & Social Service Providers |
| Street Address |
19275 NORTHLINE RD |
| City | SOUTHGATE |
| State | MI |
| Zip Code | 48195-2220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164047577 | Alexandria Forst | Student in an Organized Health Care Education/Training Program | 19275 Northline Rd, Southgate, MI 48195-2220 | 2020-06-11 |
| 1639714421 | Hannah Elizabeth Turnbull | Student in an Organized Health Care Education/Training Program | 19275 Northline Rd, Southgate, MI 48195-2220 | 2019-11-15 |
| 1740730878 | Dominique Zander | Social Worker | 19275 Northline Rd, Building 7, Southgate, MI 48195-2220 | 2016-10-13 |
| 1396125852 | Laura Lee Gerwatowski | Counselor | 19275 Northline Rd, Southgate, MI 48195-2220 | 2015-05-31 |
| 1306247846 | Sarah Daniels | Social Worker | 19275 Northline Rd, Southgate, MI 48195-2220 | 2014-09-15 |
| 1508274010 | Sarah Duxter | Social Worker | 19275 Northline Rd, Southgate, MI 48195-2220 | 2014-07-28 |
| 1275954596 | Breanna Greer | Counselor | 19275 Northline Rd, Southgate, MI 48195-2220 | 2014-01-05 |
| 1730518267 | Shannon Mcinchak | Social Worker | 19275 Northline Rd, Southgate, MI 48195-2220 | 2013-11-05 |
| 1720227663 | Eric Anthony West | Registered Nurse | 19275 Northline Rd, Southgate, MI 48195-2220 | 2009-02-17 |
| 1134380488 | Rose M Hopkins | Psychologist | 19275 Northline Rd, Southgate, MI 48195-2220 | 2008-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206656 | Destiny D Harris | Social Worker | 14799, Southgate, MI 48195 | 2020-05-13 |
| 1285102368 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 16256 Fort St, Southgate, MI 48195 | 2018-11-07 |
| 1003382979 | Saran Charisse Watts | Case Manager/Care Coordinator | 31101 Allen Rd, Building 5, Southgate, MI 48195 | 2018-10-18 |
| 1255824025 | Kiesta Janell Lindsey | Social Worker | 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 | 2018-06-07 |
| 1417473224 | Suzette Michele Watson | Nurse Practitioner | 14319 Dix-toledo, Southgate, MI 48195 | 2017-08-15 |
| 1275069486 | Liza Du Plessis | Student in an Organized Health Care Education/Training Program | 13111 Allen Road, Southgate, MI 48195 | 2017-05-08 |
| 1497290456 | Beaumont Health | Clinic/Center | 15777 Northline, Southgate, MI 48195 | 2016-12-30 |
| 1184172876 | Felicia Wilson | Licensed Practical Nurse | 15771 Wildemere, Southgate, MI 48195 | 2016-09-12 |
| 1225487978 | Stacey Petrick-strickland | Technician, Other | 12189 Agnes, Southgate, MI 48195 | 2016-06-03 |
| 1205298486 | Ashley Francis | Hearing Instrument Specialist | 18800 Eureka Rd., Southgate, MICHIGAN 48195 | 2016-03-25 |
| Find all providers in zip 48195 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144545815 | Donna Marie Galante | Counselor | 13101 Northline Rd, Southgate, MI 48195 | 2010-04-06 |
| 1174856975 | Kathryn Mary Thompson | Counselor | 13101 Allen Rd Bldg 4a, Southgate, MI 48195-2216 | 2009-09-10 |
| 1861519746 | Dolores C Archibald | Counselor | 13101 Allen Rd., Southgate, MI 48195 | 2007-03-23 |
| 1912548231 | Jacqueline Sandra Emmons | Counselor | 13305 Reeck Ct, Southgate, MI 48195-3197 | 2019-10-08 |
| 1255835351 | Amanda Clark | Counselor | 13101 Allen Rd, Southgate, MI 48195-2216 | 2018-03-22 |
| 1336671890 | Sherry Nipper | Counselor | 13101 Allen Rd Bldg 4, Southgate, MI 48195-2216 | 2017-04-03 |
| 1700232956 | Robin Brown-henry | Counselor | 13305 Reeck Ct, Southgate, MI 48195-3197 | 2016-05-06 |
| 1124480322 | Shiba Christine Elenore Palmer | Counselor | 13101 Allen Rd Bldg 4, Southgate, MI 48195 | 2016-03-25 |
| 1861743064 | Kristen Chapman | Counselor | 14799 Dix Toledo Rd, Southgate, MI 48195-2507 | 2012-09-27 |
| 1972898195 | Angela Hunter | Counselor | 14799 Dix Toledo Rd, Southgate, MI 48195-2507 | 2011-06-15 |
| Find all providers in SOUTHGATE | ||||
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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.