TIFFANY WATERS


Address: 2405 Shadelands Dr, Walnut Creek, CA 94598-2444
Phone: 9259398585

TIFFANY WATERS (NPI# 1184652695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184652695
Entity Type Individual
Full Name TIFFANY WATERS
Other Name TIFFANY BENNING
Credential P.A.
Practice Address 2405 Shadelands Dr
Walnut Creek
CA 94598-2444
Mailing Address Po Box 31396
Walnut Creek
CA 94598-8396
Practice Telephone 9259398585
Practice Fax Number 9259332709
Mailing Telephone 9259398585
Mailing Fax Number 9259332709
Enumeration Date 2006-06-30
Last Update Date 2013-11-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363AM0700X Physician Assistant
Specialization: Medical
PA17246 CA Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA17246 CA Physician Assistants & Advanced Practice Nursing Providers

Other Providers TIFFANY WATERS

NPI Name Taxonomy Address Enumeration
1356964670 Tiffany Dawn Waters Physical Therapist 260 Lake Ridge Trl, Jonesboro, LA 71251-6621 2020-05-20
1730501156 Tiffany Waters Speech-Language Pathologist 14286 Beach Blvd Ste 34, Jacksonville, FL 32250-1570 2014-01-21

Office Location

Street Address 2405 SHADELANDS DR
City WALNUT CREEK
State CA
Zip Code 94598-2444

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316939556 Sequoia Surgical Center Lp Clinic/Center 2405 Shadelands Dr, Suite 200, Walnut Creek, CA 94598-2444 2005-08-15
1306499272 Kevin Byrne Physician Assistant 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 2019-07-19
1881062750 Zachary Symmes Physician Assistant 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 2015-09-09
1174914410 Anna Geller Registered Nurse 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 2015-02-09
1255720025 Gayle Fenner Physician Assistant 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 2015-01-16
1689075236 Michael Francis Cadette Physician Assistant 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 2014-09-12
1508270075 Richard Friedell Physical Therapist 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 2014-06-12
1235562489 Mario Pisani Physical Therapist 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 2013-08-12
1922379940 Bronwyn Fevaleaki Physical Therapist 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 2012-01-23
1891083408 Mariel P Heller-benson Physician Assistant 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 2011-07-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639716608 Tasnim Diaf Moulton Counselor 2730 Shadelands Drive, Walnut Creek, CA 94598 2019-12-09
1790255370 Harmony Grace Davis Behavior Technician 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 2018-11-27
1922583772 Melissa Anne Mcgovern Behavioral Analyst 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 2018-09-27
1184108367 Brett Heflin Woodrufff Behavior Technician 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 2018-09-24
1710411640 Mandy Wei Pharmacist 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 2017-04-18
1437683497 Hayley Miller Student in an Organized Health Care Education/Training Program 2204 Lomond Lane, Walnut Creek, CA 94598 2017-04-17
1043601594 Marlene Perez Riedel Nurse Practitioner 450 North Wiget Lane, Walnut Creek, CA 94598 2015-02-05
1922418904 Dante Michael Sorrentino Ophthalmology Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 2014-04-30
1194156505 Robert Harrison Hubbell Obstetrics & Gynecology 838 Stonehaven Dr, Walnut Creek, CA 94598 2013-12-11
1174954192 Paul Mead Orthopaedic Surgery 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 2013-12-01
Find all providers in zip 94598

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063520906 James Quintella Physician Assistant 301 Lennon Ln Ste 100, Walnut Creek, CA 94598-2426 2006-08-29
1356956460 Kali Anne Koziol Physician Assistant 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 2020-09-15
1619517745 Benjamin Joseph Hubbard Physician Assistant 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 2020-01-07
1306499272 Kevin Byrne Physician Assistant 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 2019-07-19
1881062750 Zachary Symmes Physician Assistant 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 2015-09-09
1588960694 Kennard David Beard Physician Assistant 1990 N California Blvd, Suite 400, Walnut Creek, CA 94596-3742 2011-02-07
1184959033 Jennifer Hisako Hayashi Physician Assistant 301 Lennon Ln, Suite 102, Walnut Creek, CA 94598-2483 2009-10-09
1992936868 Claire Elizabeth Kerney Physician Assistant 1425 S Main St, Walnut Creek, CA 94596-5318 2009-07-27
1588856066 James E Michael Physician Assistant 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 2007-08-17
1114078631 Mark Okawachi Physician Assistant 1425 S Main St, Walnut Creek, CA 94596-5318 2007-01-12
Find all providers in WALNUT CREEK

Competitor

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City WALNUT CREEK
Zip Code 94598

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Dataset Information

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.

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