MISS TIFFANY SHANNON RAY (NPI# 1114097615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114097615 |
| Entity Type | Individual |
| Full Name | MISS TIFFANY SHANNON RAY |
| Credential | CRNA |
| Practice Address |
6410 Walnut Grove Rd Horn Lake MS 38637-2023 |
| Practice Telephone | 9016520880 |
| Mailing Telephone | 9016520880 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | R864509 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205478880 | Tiffany Ray | Dietitian, Registered | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2019-10-15 |
| 1114573631 | Tiffany Ray | Behavioral Analyst | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 | 2019-08-12 |
| 1366991861 | Tiffany Ray | Counselor | 139 W Market St, West Chester, PA 19382-2900 | 2016-09-25 |
| Street Address |
6410 WALNUT GROVE RD |
| City | HORN LAKE |
| State | MS |
| Zip Code | 38637-2023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184098733 | Wal-mart Stores East, Lp | Technician/Technologist | 4150 Goodman Road West, Horn Lake, MS 38637 | 2015-11-19 |
| 1609116581 | Horn Lake Eyecare Pllc | Optometrist | 2085 Goodman Rd, Horn Lake, MS 38637 | 2013-02-28 |
| 1487806121 | Midsouth Medical Specialties LLC | Pharmacy | 1433 Goodman Rd W, Horn Lake, MS 38637 | 2008-10-14 |
| 1356417992 | William E Middleton Jr Dds Pa | Dentist | 3011 Goodman Road W, Horn Lake, MS 38637 | 2006-11-27 |
| 1104297753 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4150 Goodman Rd, Horn Lake, MS 38637-0300 | 2015-10-08 |
| 1134617178 | Connie Irene Worley | Pharmacist | 4150 Goodman Rd, Horn Lake, MS 38637-0300 | 2018-04-25 |
| 1598252710 | Justin Mathis | Pharmacist | 4150 Goodman Rd, Horn Lake, MS 38637-0300 | 2018-04-13 |
| 1730686932 | Bradley Thomas Loeffel | Pharmacist | 4150 Goodman Rd, Horn Lake, MS 38637-0300 | 2018-04-12 |
| 1437759388 | Sarah Walls | Private Vehicle | 3765 Hilltop Dr, Horn Lake, MS 38637-1030 | 2020-10-29 |
| 1497901417 | William E. Middleton Jr. | Dentist | 3011 Goodman Rd W, Horn Lake, MS 38637-1103 | 2008-08-10 |
| Find all providers in zip 38637 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407478209 | Laura Polk Phillips | Nurse Anesthetist, Certified Registered | 125 Stone Creek Dr, Madison, MS 39110-5058 | 2020-05-14 |
| 1457970923 | Sola Medical Services, LLC | Nurse Anesthetist, Certified Registered | 3037 Corder Drive, Corinth, MS 38834-3883 | 2020-04-14 |
| 1770046690 | Brittany Ball | Nurse Anesthetist, Certified Registered | 6232 Vera Ln, Olive Branch, MS 38654-6494 | 2019-04-08 |
| 1285106658 | Brian F Seymour Jr. | Nurse Anesthetist, Certified Registered | 13413 Saint Martin Dr, Ocean Springs, MS 39564-9258 | 2018-12-26 |
| 1174095749 | Emily E Randle | Nurse Anesthetist, Certified Registered | 3900 Lakeland Dr Ste 505c, Flowood, MS 39232-8854 | 2018-12-20 |
| 1194213926 | Justin Michael Coats | Nurse Anesthetist, Certified Registered | 1163 Carriage Dr S, Southaven, MS 38671-2330 | 2018-04-26 |
| 1609314400 | Dale P Hotard IIi | Nurse Anesthetist, Certified Registered | 103 Fairview Dr, Vicksburg, MS 39180-8934 | 2017-02-01 |
| 1457807794 | Freelance Anesthesia Mississippi, LLC | Nurse Anesthetist, Certified Registered | 1746 Highway 1 S Ste C, Greenville, MS 38701-7817 | 2016-08-28 |
| 1063873438 | Holder Anesthesia | Nurse Anesthetist, Certified Registered | 2311 Jackson Ave W, Suite 302, Oxford, MS 38655-5750 | 2016-03-14 |
| 1124496906 | Sova Anesthesia, Pllc | Nurse Anesthetist, Certified Registered | 2734 Lizzie Cv, Southaven, MS 38671-7510 | 2015-09-09 |
| 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.