TIFFANY YOUNG (NPI# 1194336768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194336768 |
| Entity Type | Individual |
| Full Name | TIFFANY YOUNG |
| Practice Address |
411 E Pearce Blvd Wentzville MO 63385-1533 |
| Practice Telephone | 6362818433 |
| Mailing Telephone | 6362818433 |
| Enumeration Date | 2020-08-16 |
| Last Update Date | 2020-08-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
2004007868 | MO | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | SPECIALIST | 2004007868 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285272518 | Tiffany R Young | Technician | 78 55th St Se, Washington, DC 20019-6564 | 2019-12-17 |
| 1700423647 | Tiffany Alicia Young | Nurse Practitioner | 8012 Sw 22nd Ct, Davie, FL 33324-5513 | 2019-12-10 |
| 1346584257 | Tiffany Young | Registered Nurse | 7210 N Port Washington Rd, 3, Glendale, WI 53217-3413 | 2012-11-15 |
| 1962762856 | Tiffany Marie Young | Registered Nurse | 1951 14th Ave, Cameron, WI 54822-9795 | 2012-05-24 |
| 1972150621 | Tiffany Young | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2019-08-19 |
| 1336705722 | Tiffany Young | Occupational Therapist | 1150 Tilton Dr, Sunnyvale, CA 94087-2440 | 2019-05-12 |
| 1801380449 | Tiffany Patrice Young | Chore Provider | 2860 E Flamingo Rd Ste K, Las Vegas, NV 89121-5270 | 2018-06-18 |
| 1275046559 | Tiffany Young | Speech-Language Pathologist | 2011 Broadway St Ste 130, Pearland, TX 77581 | 2017-11-09 |
| 1164933172 | Tiffany E Young | Counselor | 1212 Cherry St, Toledo, OH 43608-2906 | 2017-10-17 |
| 1992155188 | Tiffany Michelle Young | Optometrist | 2929 Highland Ave, Cincinnati, OH 45219-2463 | 2016-06-17 |
| Street Address |
411 E PEARCE BLVD |
| City | WENTZVILLE |
| State | MO |
| Zip Code | 63385-1533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760494041 | David Vincent Orf | Dentist | 411 E Pearce Blvd, Wentzville, MO 63385-1533 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730243 | Jeffery William Ellis | Pharmacist | 1571 Wentzville Parkway, Wentzville, MO 63385 | 2020-11-05 |
| 1487266011 | Jason Wade Moore | Peer Specialist | 5 West Pearce Boulevard, Wentzville, MO 63385 | 2020-08-17 |
| 1265906176 | Montrice M Haynes | Counselor | 500 Medical Dr., Central Intake, Wentzville, MO 63385 | 2019-01-14 |
| 1841718459 | Linda Duree | Counselor | 7105 Whisper Creek Dr, Wentzville, MO 63385 | 2017-09-03 |
| 1811349368 | Sara Kleinlein | Social Worker | 500 Medical Drive, Wentzville, MO 63385 | 2016-07-08 |
| 1275980757 | Teona Moeller | Nurse Practitioner | 1598 West Meyer Dr., Wentzville, MO 63385 | 2016-05-16 |
| 1831561273 | Jay F. Hauser, Dds, PC | Dentist | 11 Wentzville Bluffs Drive, Wentzville, MO 63385 | 2015-10-26 |
| 1720402035 | Shara Kuehl | Speech-Language Pathologist | One Campus Drive, Wentzville, MO 63385 | 2014-02-06 |
| 1336480474 | Simply Loyal In Home and Transport Services LLC | Home Health | 152 Enterprise Dr, Wentzille, MO 63385 | 2013-03-14 |
| 1750641338 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1849 Wentzville Parkway, Wentzville, MO 63385 | 2012-05-17 |
| Find all providers in zip 63385 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629698 | Felicia Cann-hanson | Specialist | 109 Seville Ct, Florissant, MO 63033-2852 | 2020-08-16 |
| 1710504576 | Anita Lynn Holbrook | Specialist | 4603 Natural Bridge Ave, Saint Louis, MO 63115-1922 | 2020-06-28 |
| 1467075762 | Yolande J Crawford | Specialist | 15 Winter Hill Ct, O Fallon, MO 63366-3961 | 2020-05-20 |
| 1881224228 | Tailored Made Hair Replacement Center LLC | Specialist | 201 W Switzler St Ste B, Centralia, MO 65240-1594 | 2020-01-24 |
| 1104484880 | Brandi Ann Harris | Specialist | 416 E Broadway, Columbia, MO 65201-4438 | 2019-05-29 |
| 1689153082 | Sew St. Louis LLC | Specialist | 2172 N Waterford Dr, Florissant, MO 63033 | 2018-08-07 |
| 1700363546 | Deshona Marie West | Specialist | 1474 Stonebury Ct, Florissant, MO 63033-6109 | 2018-07-24 |
| 1093228629 | Monique Cherise Richard | Specialist | 5874 Delmar Blvd # 201-202, Saint Louis, MO 63112-2338 | 2017-11-06 |
| 1093232712 | Timothy Duane Lindsey | Specialist | 5915 Suemandy Dr, Saint Peters, MO 63376-4314 | 2017-08-23 |
| 1932625415 | Haven of Grooming | Specialist | 51 Florissant Oaks Shop Center, Florissant, MO 63031 | 2017-08-16 |
| Find all providers with the same taxonomy | ||||
| City | WENTZVILLE |
| Zip Code | 63385 |
Please comment or provide details below to improve the information on TIFFANY YOUNG.
| 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.