TIFFANY THOMAS (NPI# 1104399781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104399781 |
| Entity Type | Individual |
| Full Name | TIFFANY THOMAS |
| Credential | LPN |
| Practice Address |
1485 M 139 Benton Harbor MI 49022-5711 |
| Practice Telephone | 2699250585 |
| Practice Fax Number | 2699271326 |
| Mailing Telephone | 2699250585 |
| Mailing Fax Number | 2699271326 |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 4703118063 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942843222 | Tiffany Ashley Thomas | Licensed Practical Nurse | 697 Arnett Blvd, Rochester, NY 14619-1425 | 2019-10-19 |
| 1477112506 | Tiffany Thomas | Licensed Practical Nurse | 326 Larchmont Acres, Larchmont, NY 10538-7318 | 2019-06-12 |
| 1114485612 | Tiffany Thomas | Specialist/Technologist | 700 Congress Ave, Havre De Grace, MD 21078-3018 | 2019-03-04 |
| 1083180319 | Tiffany Monique Thomas | Nurse Practitioner | 2142 Sandlin Rd, Birmingham, AL 35235-2031 | 2018-10-14 |
| 1013389105 | Tiffany Thomas | Counselor | 8325 Kelwood Avenue, Baton Rouge, LA 70805 | 2015-10-28 |
| 1225465735 | Tiffany M Thomas | Specialist/Technologist, Other | 3410 Farrel Hill St, Fresno, TX 77545-7071 | 2013-09-28 |
| 1861764342 | Tiffany Nicole Thomas | Counselor | 508 North Truman Blvd, Upper Level J, Crystal City, MO 63019 | 2012-01-31 |
| 1245856897 | Tiffany Nichole Thomas | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2020-06-19 |
| 1164071254 | Tiffany Ranea Thomas | Case Manager/Care Coordinator | 22004 Linden Blvd, Jamaica, NY 11411-1621 | 2019-09-10 |
| 1629621149 | Tiffany Thomas | Pharmacist | 201 N 23rd St, Canyon, TX 79015-2516 | 2019-07-23 |
| Street Address |
1485 M 139 |
| City | BENTON HARBOR |
| State | MI |
| Zip Code | 49022-5711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669434361 | Payton Gordon Brown | Psychiatry & Neurology | 1485 M 139, Benton Harbor, MI 49022-5711 | 2006-04-06 |
| 1013529650 | Amber Kay Fergison | Social Worker | 1485 M 139, Benton Harbor, MI 49022-5711 | 2020-08-17 |
| 1225651268 | Shannon M Packingham | Case Manager/Care Coordinator | 1485 M 139, Benton Harbor, MI 49022-5711 | 2020-05-26 |
| 1649804428 | Donald P Gillespie | Social Worker | 1485 M 139, Benton Harbor, MI 49022-5711 | 2020-03-02 |
| 1881239697 | Kimberly M Sparkmon | Social Worker | 1485 M 139, Benton Harbor, MI 49022-5711 | 2019-11-15 |
| 1386287845 | Mikayla Cd Davis | Case Manager/Care Coordinator | 1485 M 139, Benton Harbor, MI 49022-5711 | 2019-10-28 |
| 1427691666 | Marion Anita Smith | Case Manager/Care Coordinator | 1485 M 139, Benton Harbor, MI 49022-5711 | 2019-10-21 |
| 1972144277 | Raymond W Ervin | Counselor | 1485 M 139, Benton Harbor, MI 49022-5711 | 2019-10-08 |
| 1982252839 | Susann C Covert | Case Manager/Care Coordinator | 1485 M 139, Benton Harbor, MI 49022-5711 | 2019-09-03 |
| 1427610732 | Patricia A Taylor | Social Worker | 1485 M 139, Benton Harbor, MI 49022-5711 | 2019-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852438 | Heather A Harrison | Pharmacist | 1485 S M139, Benton Harbor, MI 49022 | 2017-10-17 |
| 1013426220 | Valerie Fulton | Chore Provider | 2457 Plaza Dr, Benton Harbor, MI 49022 | 2017-09-20 |
| 1124544101 | Felecia Howell | Social Worker | 1485 M139, Benton Harbor, MI 49022 | 2017-08-21 |
| 1548797848 | Lauren Elise Midkiff | Social Worker | 1485 M-139, Benton Harbor, MI 49022 | 2017-05-17 |
| 1780130419 | Jennifer Hoover | Pharmacist | 1701 M-139, Benton Harbor, MI 49022 | 2016-09-01 |
| 1841646395 | Josefina Pena-ogando | Counselor | 185 E Main St Ste 402, Benton Harbor, MI 49022 | 2016-05-13 |
| 1295116648 | Claudia Olivia Pozo | Counselor | 1458 M 139, Benton Harbor, MI 49022 | 2015-06-11 |
| 1063809515 | Patrick K Hanlin | Counselor | 800 M- 139, Benton Harbor, MI 49022 | 2015-04-22 |
| 1912280835 | Kimberly Anne Hardt | Pharmacist | 875 E.napier, Benton Harbor, MI 49022 | 2011-09-27 |
| 1407150279 | Ldbh, LLC | Clinic/Center | 338 8th Street, Benton Harbor, MI 49022 | 2011-01-07 |
| Find all providers in zip 49022 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790137503 | Willa Liddell | Licensed Practical Nurse | 122 W May St, Benton Harbor, MI 49022-5412 | 2016-07-05 |
| 1720459779 | Lawanda Lakisha Morrow | Licensed Practical Nurse | 777 E Napier Ave Apt C3, Benton Harbor, MI 49022-6128 | 2015-10-16 |
| 1457712739 | Mark David Oisten | Licensed Practical Nurse | 1485 M 139, Benton Harbor, MI 49022-5711 | 2016-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789546 | Lashonda S Noble | Licensed Practical Nurse | 21107 Lahser Rd, Southfield, MI 48033-4400 | 2020-10-30 |
| 1841890670 | Danielle Berry | Licensed Practical Nurse | 58 Murray St Se, Grand Rapids, MI 49548-3304 | 2020-10-30 |
| 1053911719 | Margaret Theresa Fry | Licensed Practical Nurse | 4929 Cedarview St Apt 2c, Ypsilanti, MI 48197-5029 | 2020-10-30 |
| 1821697095 | Andrew Onyemaechi Onyeanula | Licensed Practical Nurse | 8281 Woodcrest Dr Apt 2, Westland, MI 48185-1238 | 2020-10-20 |
| 1255948121 | Nikki Leonard | Licensed Practical Nurse | 806 Chartier, Marine City, MI 48039-2319 | 2020-09-25 |
| 1235746033 | Roberta A Thomas | Licensed Practical Nurse | 399 S Union St Apt 15, Sparta, MI 49345-1534 | 2020-09-25 |
| 1821604562 | Wendy Lynne Hughes | Licensed Practical Nurse | 2025 S Washington Ave Suite 210 Lansing, Mi 48910, Lansing, MI 48910 | 2020-09-18 |
| 1043824519 | Linda Hershberger | Licensed Practical Nurse | 219 Lane St, Mendon, MI 49072-9630 | 2020-09-02 |
| 1861006538 | David Bradley | Licensed Practical Nurse | 15540 Prevost St, Detroit, MI 48227-1963 | 2020-09-01 |
| 1215540430 | Sheronda Lanetta Blackmon | Licensed Practical Nurse | 13929 Harper Ave., Detroit, MI 48213 | 2020-08-27 |
| Find all providers with the same taxonomy | ||||
| City | BENTON HARBOR |
| Zip Code | 49022 |
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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.