TIFFANY MICHELLE BLAND (NPI# 1366055881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366055881 |
| Entity Type | Individual |
| Full Name | TIFFANY MICHELLE BLAND |
| Practice Address |
1885 Thompson Rd Coos Bay OR 97420-2152 |
| Mailing Address |
3587 Heathrow Way Medford OR 97504-4004 |
| Practice Telephone | 5412668480 |
| Practice Fax Number | 5412668479 |
| Mailing Telephone | 5418588170 |
| Mailing Fax Number | 5418588167 |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891257838 | Tiffany Ann Bland | Physical Therapy Assistant | 300 Center Ave, Waynesburg, PA 15370-8243 | 2019-04-01 |
| 1447755848 | Tiffany Gail Bland | Student in an Organized Health Care Education/Training Program | 6675 Holmes Rd Ste 360, Kansas City, MO 64131-1167 | 2018-03-27 |
| Street Address |
1885 THOMPSON RD |
| City | COOS BAY |
| State | OR |
| Zip Code | 97420-2152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356438592 | Columbiacare Services | Respite Care | 1885 Thompson Rd, Coos Bay, OR 97420-2152 | 2006-10-09 |
| 1073125456 | Jessica Ellen Glazier | Counselor | 1885 Thompson Rd, Coos Bay, OR 97420-2152 | 2020-08-18 |
| 1346864634 | Rachel Anna Heitstuman | Counselor | 1885 Thompson Rd, Coos Bay, OR 97420-2152 | 2020-06-02 |
| 1952922650 | Camille Lorraine Springer | Counselor | 1885 Thompson Rd, Coos Bay, OR 97420-2152 | 2020-05-04 |
| 1841826310 | Jerry William Lacy | Counselor | 1885 Thompson Rd, Coos Bay, OR 97420-2152 | 2020-03-17 |
| 1437784428 | David Craig Anderson | Counselor | 1885 Thompson Rd, Coos Bay, OR 97420-2152 | 2020-03-10 |
| 1962049817 | Kevin Dale Hensley | Counselor | 1885 Thompson Rd, Coos Bay, OR 97420-2152 | 2019-12-10 |
| 1518503424 | Kimberly Ann Mcilwain | Counselor | 1885 Thompson Rd, Coos Bay, OR 97420-2152 | 2019-11-26 |
| 1154965663 | Anne Marie Strong | Counselor | 1885 Thompson Rd, Coos Bay, OR 97420-2152 | 2019-10-29 |
| 1952942971 | Marissa Jane Moore | Counselor | 1885 Thompson Rd, Coos Bay, OR 97420-2152 | 2019-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346880606 | Danielle Goette | Massage Therapist | 320 Central Ave Suite 226, Coos Bay, OR 97420 | 2020-01-14 |
| 1730643735 | Nicole Hand-therapeutic Massage | Massage Therapist | 3229 Broadway Avenue, Suite D, Coos Bay, OR 97420 | 2019-01-24 |
| 1528531100 | A Better Reality | Clinic/Center | 2690 N. 17th Sstreet, Coos Bay, OR 97420 | 2019-01-07 |
| 1396216883 | Elizabeth Rose Stephens | Health Educator | 97381 Newport Lane, Coos Bay, OR 97420 | 2018-12-10 |
| 1093263386 | Megan Smith | Physician Assistant | 375 Park Ave Ste 5, Coos Bay, OR 97420 | 2016-09-14 |
| 1285091884 | Richard T Rigney | Counselor | 62754 Karl Road, Coos Bay, OR 97420 | 2016-01-27 |
| 1821493032 | James Thomas Agee | Pharmacist | 2051 Newmark Avenue, Walmart Pharmacy 1880, Coos Bay, OR 97420 | 2014-10-30 |
| 1346663895 | Steven D. Richardson D.m.d. L.l.c | Dentist | 1835 Ocean Blvd Se, Coos Bay, OR 97420 | 2014-02-03 |
| 1144669243 | Michael Jason Cole | Pharmacist | 1020 South First Ave, Coos Bay, OR 97420 | 2013-06-21 |
| 1639518053 | Jonathan Thomas Small | Physical Therapist | 2645 North 17th St, Coos Bay, OR 97420 | 2013-06-19 |
| Find all providers in zip 97420 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659921526 | Nicholas Elgin | Counselor | 755 S 7th St, Coos Bay, OR 97420-1342 | 2019-09-12 |
| 1679939524 | Meggan Mclarrin | Counselor | 375 Park Ave Ste 2, Coos Bay, OR 97420-2242 | 2016-01-07 |
| 1497156574 | Peggy Davidson | Counselor | 876 Signal Way, Coos Bay, OR 97420-2237 | 2014-09-09 |
| 1073125456 | Jessica Ellen Glazier | Counselor | 1885 Thompson Rd, Coos Bay, OR 97420-2152 | 2020-08-18 |
| 1346864634 | Rachel Anna Heitstuman | Counselor | 1885 Thompson Rd, Coos Bay, OR 97420-2152 | 2020-06-02 |
| 1952922650 | Camille Lorraine Springer | Counselor | 1885 Thompson Rd, Coos Bay, OR 97420-2152 | 2020-05-04 |
| 1841826310 | Jerry William Lacy | Counselor | 1885 Thompson Rd, Coos Bay, OR 97420-2152 | 2020-03-17 |
| 1437784428 | David Craig Anderson | Counselor | 1885 Thompson Rd, Coos Bay, OR 97420-2152 | 2020-03-10 |
| 1265062483 | Kelly Lynn Nash | Counselor | 281 Laclair St, Coos Bay, OR 97420-2988 | 2020-01-16 |
| 1962049817 | Kevin Dale Hensley | Counselor | 1885 Thompson Rd, Coos Bay, OR 97420-2152 | 2019-12-10 |
| Find all providers in COOS BAY | ||||
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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.