IVANNA TIFFANY YU (NPI# 1174174536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174174536 |
| Entity Type | Individual |
| Full Name | IVANNA TIFFANY YU |
| Credential | PA-C |
| Practice Address |
2200 E Washington St Bloomington IL 61701-4364 |
| Mailing Address |
922 Waterview Way Apt G Champaign IL 61822-1275 |
| Practice Telephone | 6304680252 |
| Mailing Telephone | 6304680252 |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
085007169 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2200 E WASHINGTON ST |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61701-4364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750383139 | Liza M. Pilch | Emergency Medicine | 2200 E Washington St, Bloomington, IL 61701-4364 | 2005-08-15 |
| 1154930436 | Tianna Elaine Marie Nicholas | Nurse Practitioner | 2200 E Washington St, Bloomington, IL 61701-4364 | 2020-07-23 |
| 1063040004 | Bailey Wilson | Occupational Therapist | 2200 E Washington St, Bloomington, IL 61701-4364 | 2020-03-27 |
| 1679104624 | Mark Garbek | Physician Assistant | 2200 E Washington St, Bloomington, IL 61701-4364 | 2020-01-29 |
| 1326688870 | Shannon Colleen Trosper | Nurse Practitioner | 2200 E Washington St, Bloomington, IL 61701-4364 | 2020-01-13 |
| 1912564634 | Hanna Marguerite Cresci | Speech-Language Pathologist | 2200 E Washington St, Bloomington, IL 61701-4364 | 2019-05-29 |
| 1730654336 | Samantha Schuckles | Physical Therapist | 2200 E Washington St, Bloomington, IL 61701-4364 | 2018-10-10 |
| 1447758107 | Theresa M Hill | Nurse Practitioner | 2200 E Washington St, Bloomington, IL 61701-4364 | 2018-01-29 |
| 1821527201 | Jacob Peter Holton | Emergency Medicine | 2200 E Washington St, Bloomington, IL 61701-4364 | 2017-06-08 |
| 1174059646 | Jennifer Weller | Occupational Therapist | 2200 E Washington St, Bloomington, IL 61701-4364 | 2017-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140964 | County of Mclean | Community/Behavioral Health | 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 | 2019-05-22 |
| 1023525292 | Karli Johnson | Counselor | 200 W Monroe St Ste C7, Bloomington, IL 61701 | 2018-01-09 |
| 1487172409 | Melody Ann Bauman | Physician Assistant | 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 | 2017-08-30 |
| 1215396288 | Heidi Larsen | Social Worker | 902 S East St, Bloomington, IL 61701 | 2016-02-18 |
| 1558735126 | Andrea E. Andrews Counseling LLC | Counselor | 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 | 2015-11-19 |
| 1174924856 | Carole Hahn | Dietitian, Registered | 1406 Forrest St, Bloomington, IL 61701 | 2014-09-12 |
| 1558786392 | Valerie Colleen Parker | Counselor | 109 W. Mulberry St., Bloomington, IL 61701 | 2014-03-04 |
| 1124459219 | Matilde Francois | Surgery | 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 | 2013-11-27 |
| 1922435114 | Smitha H Shivaprasad | Pharmacist | 2611 East Oakland Avenue, Bloomington, IL 61701 | 2013-10-02 |
| 1295161941 | Ashvin Patel | Obstetrics & Gynecology | 31 Country Club Pl, Bloomington, IL 61701 | 2013-09-25 |
| Find all providers in zip 61701 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801041348 | David Cushman | Physician Assistant | 8357 Blaisdell Ave S, Bloomington, MN 55420-2220 | 2008-11-25 |
| 1518430537 | Lauren Cantor | Physician Assistant | 326 S Woodscrest Dr, Bloomington, IN 47401-5314 | 2019-01-03 |
| 1033605845 | Cheyenne Olivia Powers | Physician Assistant | 813 W 2nd St, Bloomington, IN 47403-2212 | 2018-07-03 |
| 1457873275 | Cameron Hernandez | Physician Assistant | 601 W 2nd St, Bloomington, IN 47403-2317 | 2017-07-13 |
| 1497206551 | Jennifer Victoria Menendez | Physician Assistant | 3024 E Empire St, Bloomington, IL 61704-5402 | 2016-10-24 |
| 1093170557 | Perinjit K Bachra | Physician Assistant | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2015-12-28 |
| 1255694212 | Lisa Erin Clemente | Physician Assistant | 601 W 2nd St, Bloomington, IN 47403-2317 | 2012-06-24 |
| 1992973846 | Wendy Veeder | Physician Assistant | 421 S Landmark Ave, Bloomington, IN 47403-5003 | 2008-02-13 |
| 1063599660 | Steven Eugene Jacobs | Physician Assistant | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2006-11-01 |
| 1851499339 | Roger Leon Lehman | Physician Assistant | 421 S Landmark Ave, Bloomington, IN 47403-5003 | 2006-09-20 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61701 |
Please comment or provide details below to improve the information on IVANNA TIFFANY YU.
| 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.