TIFFANY GREEN (NPI# 1164082228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164082228 |
| Entity Type | Individual |
| Full Name | TIFFANY GREEN |
| Practice Address |
6330 Mcleod Dr Ste 3 Las Vegas NV 89120-4431 |
| Practice Telephone | 7024875480 |
| Mailing Telephone | 7024875480 |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194331090 | Tiffany Renee Green | Nurse Practitioner | 6411 Fannin St Apt 5202, Houston, TX 77030-1501 | 2020-09-17 |
| 1407489594 | Tiffany Dean Green | Social Worker | 633 E Fernhurst Dr Ste 1102, Katy, TX 77450-1592 | 2020-02-17 |
| 1801435482 | Tiffany Lynn Green | In Home Supportive Care | 111 W 10th St Ste 207, Kansas City, MO 64105-1700 | 2019-12-31 |
| 1568015931 | Tiffany Green | Case Manager/Care Coordinator | 100 S. Ashley Drive, Suite 600, Tampa, FL 33602-3360 | 2019-07-24 |
| 1619437274 | Tiffany Green | Social Worker | 2501 Nostrand Ave Apt 3h, Brooklyn, NY 11210-4701 | 2019-03-20 |
| 1174089353 | Tiffany Nicole Green | Specialist/Technologist | 133 W Washington St, Stephenville, TX 76401-4254 | 2019-02-13 |
| 1932687753 | Tiffany D Green | Licensed Practical Nurse | 717 Woodland Ave, Quincy, FL 32351-1312 | 2018-08-02 |
| 1497128276 | Tiffany A Green | Home Health Aide | 3770 Zephyr Pl, Columbus, OH 43232-4245 | 2015-11-03 |
| 1164837001 | Tiffany Green | Social Worker | 1109 E 45th Ave, Gary, IN 46409-2334 | 2014-06-30 |
| 1881936391 | Tiffany Leigh Green | Case Manager/Care Coordinator | 441185 Cedar Crest Dr, Big Cabin, OK 74332-8102 | 2013-03-22 |
| Street Address |
6330 MCLEOD DR STE 3 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89120-4431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215210646 | Rosella Beverly | Behavioral Analyst | 6330 Mcleod Dr Ste 3, Las Vegas, NV 89120-4431 | 2011-09-21 |
| 1801457973 | Paula Jenkins | Technician | 6330 Mcleod Dr Ste 3, Las Vegas, NV 89120-4431 | 2019-06-27 |
| 1962063032 | Shameka Green | Technician | 6330 Mcleod Dr Ste 3, Las Vegas, NV 89120-4431 | 2019-06-27 |
| 1750942827 | Brandy Grimes | Technician | 6330 Mcleod Dr Ste 3, Las Vegas, NV 89120-4431 | 2019-06-27 |
| 1427619584 | Micheal Daniels | Technician | 6330 Mcleod Dr Ste 3, Las Vegas, NV 89120-4431 | 2019-06-27 |
| 1609437771 | Destiny Johnson | Technician | 6330 Mcleod Dr Ste 3, Las Vegas, NV 89120-4431 | 2019-06-27 |
| 1932760246 | Tiyia Weatherspoon | Technician | 6330 Mcleod Dr Ste 3, Las Vegas, NV 89120-4431 | 2019-06-26 |
| 1871154195 | Judith Wright | Technician | 6330 Mcleod Dr Ste 3, Las Vegas, NV 89120-4431 | 2019-06-26 |
| 1831759901 | Raymond Watson | Technician | 6330 Mcleod Dr Ste 3, Las Vegas, NV 89120-4431 | 2019-06-19 |
| 1538653142 | Vernell Meredith | Technician | 6330 Mcleod Dr Ste 3, Las Vegas, NV 89120-4431 | 2018-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850144 | Mental Edge Therapy Professional LLC | Psychologist | 2520 St. Rose Parkway, Suite 220-a (219), Las Vegas, NV 89120 | 2020-10-30 |
| 1740896877 | Global Behavior Analyst | Behavioral Analyst | 2510 East Sunset Rd, Ste 5 Pmb 670, Las Vegas, NV 89120 | 2020-09-23 |
| 1225656804 | Michael Y Chang Md PC | Anesthesiology | 2700 Sunset Rd B18, Las Vegas, NV 89120 | 2020-07-09 |
| 1053962142 | Arlene M Mcmillen | Technician | 3321 Casey Drive, Apt 104 Bldg 15, Las Vegas, NV 89120 | 2019-09-20 |
| 1942858634 | Michael A Fortunato Md Pllc | Anesthesiology | Michael A Fortunato, Md Pllc, 2700 Sunset Rd #b18, Las Vegas, NV 89120 | 2019-08-27 |
| 1023664521 | Christine White | Behavior Technician | 8431 Sunset Road, Suite 110, Henderson, NV 89120 | 2019-08-12 |
| 1922653435 | David Stefon Mayo | Technician | 3960 E. Patrick Lane, Suite 202., Las Vegas, NV 89120 | 2019-08-02 |
| 1346893724 | Joseph Acuna | Technician | 3960 E. Patrick Lane, Suite 202, Las Vegas, NV 89120 | 2019-07-24 |
| 1588217582 | Va Natasha Manutai | Technician | 3980 E Patrick Lane, Suite 202, Las Vegas, NV 89120 | 2019-07-18 |
| 1811557788 | Fidencia Gutierrez | Chore Provider | 2690 Chandler Ave. Ste. 1, Ste. 1, Las Vegas, NV 89120 | 2019-06-13 |
| Find all providers in zip 89120 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396628 | Jill Azevedo | Technician | 6300 Black Mesa Ct, Las Vegas, NV 89142-7919 | 2020-11-06 |
| 1396346409 | Johanna Dwyer | Technician | 5755 E Lake Mead Blvd Apt D, Las Vegas, NV 89156-6859 | 2020-11-04 |
| 1063013274 | Lloyd Major | Technician | 3830 University Center Dr Apt 318, Las Vegas, NV 89119-7420 | 2020-11-04 |
| 1861093239 | Raiquave Morgan | Technician | 5256 Tamarus St Apt B, Las Vegas, NV 89119-5047 | 2020-11-03 |
| 1669073250 | Chrissy Bowser | Technician | 3355 Spg Mnt Rd Ste 67, Las Vegas, NV 89102-8633 | 2020-11-02 |
| 1235739392 | Maxima Del Carmen Garcia | Technician | 3580 E Alexander Rd Apt 2016, Las Vegas, NV 89115 | 2020-10-28 |
| 1427657196 | Hector Querubin | Technician | 5400 S Maryland Pkwy Apt 165, Las Vegas, NV 89119-2642 | 2020-10-22 |
| 1043819063 | Ma Guadalupe Ramos Michel | Technician | 2415 Reynolds Ave #101, Las Vegas, NV 89030 | 2020-10-21 |
| 1881293777 | Miguel Angel Umpierre | Technician | 9889 Overlook Ridge Ave, Las Vegas, NV 89148 | 2020-10-21 |
| 1356940654 | Shannon Gordon | Technician | 1224 W Lake Mead Blvd, Las Vegas, NV 89106-2415 | 2020-10-19 |
| Find all providers in LAS VEGAS | ||||
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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.