MS. TIFFANY PUCKETT


Address: 2101 Courage Dr, Fairfield, CA 94533-6717
Phone: 7074281131

MS. TIFFANY PUCKETT (NPI# 1356835557) 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) 1356835557
Entity Type Individual
Full Name MS. TIFFANY PUCKETT
Credential RN
Practice Address 2101 Courage Dr
Fairfield
CA 94533-6717
Practice Telephone 7074281131
Mailing Telephone 7074281131
Enumeration Date 2018-06-20
Last Update Date 2018-06-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163W00000X Registered Nurse 95141247 CA Nursing Service Providers

Other Providers TIFFANY PUCKETT

NPI Name Taxonomy Address Enumeration
1073073896 Tiffany Nicole Puckett Nurse Practitioner 101 E Wood St, Spartanburg, SC 29303-3040 2019-03-20
1194872077 Tiffany Vick Puckett Social Worker 2300 Ramsey St, Fayetteville, NC 28301-3856 2007-01-04

Office Location

Street Address 2101 COURAGE DR
City FAIRFIELD
State CA
Zip Code 94533-6717

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396736732 Sarah Jane Bolger Nurse Practitioner 2101 Courage Dr, Fairfield, CA 94533-6717 2005-11-03
1235754706 Armina Roseanna Delacruz Counselor 2101 Courage Dr, Fairfield, CA 94533-6717 2020-06-10
1043834955 Rodney Ralls Counselor 2101 Courage Dr, Fairfield, CA 94533-6717 2020-06-05
1740800531 Cleveland Anthony Thibodeaux IIi Counselor 2101 Courage Dr, Fairfield, CA 94533-6717 2020-04-21
1477173672 Lauren Elayna Lopez Case Manager/Care Coordinator 2101 Courage Dr, Fairfield, CA 94533-6717 2020-04-17
1497388763 Edward Lusung Mendoza Licensed Vocational Nurse 2101 Courage Dr, Fairfield, CA 94533-6717 2020-02-14
1598397655 Pamela Monterrosa Student in an Organized Health Care Education/Training Program 2101 Courage Dr, Fairfield, CA 94533 2020-02-06
1205476801 Lemuel Francis Constantino Registered Nurse 2101 Courage Dr, Fairfield, CA 94533-6717 2020-01-10
1285273490 Simone Lenore Adkins Counselor 2101 Courage Dr, Fairfield, CA 94533-6717 2020-01-06
1376182857 Sean Michael Maher Registered Nurse 2101 Courage Dr, Fairfield, CA 94533-6717 2019-12-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609487347 Shayondelice Sledge Case Manager/Care Coordinator 3001 N. Texas St., #27, Fairfield, CA 94533 2020-08-16
1508401191 Tiffany Ann Garcia Social Worker 1301 Roman Way, Martinez, CA 94533 2019-11-07
1609424175 Andrew Stephens Student in an Organized Health Care Education/Training Program Dgmc, 101 Bodin Cir, Fairfield, CA 94533 2019-08-28
1821645383 Michelle Marie Hackett Marriage & Family Therapist 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 2019-08-20
1780154369 Maria Leonila Ramos Corpuz Behavior Technician 744 Empire Street Suite 160, Fairfield, CA 94533 2018-11-27
1629575303 Jeanne Ann Kiernan Dentist 690 Airman Dr, Apo, AA 94533 2018-04-10
1629596820 Max Kardos Student in an Organized Health Care Education/Training Program 801 Empire St., Fairfield, CA 94533 2017-09-07
1780119867 Justin Denhart Dickson Student in an Organized Health Care Education/Training Program 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 2017-04-26
1639613409 Behrooz Shafiezadeh Marriage & Family Therapist Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 2016-12-13
1427500164 Tanya Ayers Counselor 801 Empire Street, Fairfield, CA 94533 2016-10-28
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Taxonomy Information

Taxonomy Code 163W00000X
Grouping Nursing Service Providers
Classification Registered Nurse

Taxonomy Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154929651 Shauntel Evette Haas Registered Nurse 2811 Toland Dr, Fairfield, CA 94534-3441 2020-10-15
1831797398 Angela Pau Registered Nurse 100 Bent Tree Dr Apt 1a, Fairfield, OH 45014-6729 2020-10-15
1750991162 Jillene Bonet Registered Nurse 271 Shady Hill Rd, Fairfield, CT 06824-7345 2020-08-01
1982213088 Chanel Tiara Williams Registered Nurse 1102 Governors Dr, Fairfield, OH 45014-2948 2020-07-24
1235754573 Mary Ann Genevieve Salonga Ocampo Registered Nurse 1550 Bussiness Center Dr., Fairfield, CA 94533-4802 2020-06-12
1932735008 Grant M Picarillo Registered Nurse 244 Pine Creek Ave, Fairfield, CT 06824-6389 2020-03-20
1972134047 Prince M Jose Registered Nurse 1818 Ashford Ct, Fairfield, CA 94533-8997 2020-01-28
1760012991 Brandi Ann Renfroe Registered Nurse 450 Pittman Rd Apt 521, Fairfield, CA 94534-6730 2020-01-15
1619526787 Rachel Orr Registered Nurse 1769 Norwalk Way, Fairfield, CA 94534-2967 2019-09-10
1235784596 Mindy Anne Milbrun Registered Nurse 564 Black Rock Tpke Unit C, Fairfield, CT 06825-4744 2019-08-05
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Competitor

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City FAIRFIELD
Zip Code 94533

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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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