MS. TIFFANY BRUSH (NPI# 1407333115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407333115 |
| Entity Type | Individual |
| Full Name | MS. TIFFANY BRUSH |
| Credential | NP-C |
| Practice Address |
1555 Doctors Dr Ste 101 Lagrange GA 30240-4132 |
| Mailing Address |
1555 Doctors Dr Lagrange GA 30240-4132 |
| Practice Telephone | 7062425201 |
| Practice Fax Number | 7062425204 |
| Mailing Telephone | 7062425201 |
| Mailing Fax Number | 7062425204 |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2019-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN220871 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4847 Wisteria Ln, Fortson, GA 318086996 | 7066158230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407277361 | Tiffany Brush | Occupational Therapist | 11405 Hallstrom Dr Nw, Gig Harbor, WA 98332-9603 | 2013-12-19 |
| 1982901310 | Tiffany N Brush | Occupational Therapist | 5316 Trail Lake Dr, Fort Worth, TX 76133-1931 | 2011-02-21 |
| Street Address |
1555 DOCTORS DR STE 101 |
| City | LAGRANGE |
| State | GA |
| Zip Code | 30240-4132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598223844 | Urgencare, LLC | Clinic/Center | 2169 West Point Road, Suite 105, Lagrange, GA 30240 | 2019-03-06 |
| 1679075527 | Georgia Pain and Spine Care, Inc | Pain Medicine | 303 Smith St Fl 2, Lagrange, GA 30240 | 2018-03-07 |
| 1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
| 1770913964 | Dell H Lawson | Counselor | 300 Medical Dr. Ste 705., Lagrange, GA 30240 | 2013-11-25 |
| 1629418793 | Mortar & Pestle, LLC | Pharmacy | 205 Vernon Street, Lagrange, GA 30240 | 2013-07-03 |
| 1336582329 | Weredeselam Menna Olango | Psychiatry & Neurology | 303 Medical Dr Ste 401, Lagrange, GA 30240 | 2013-04-10 |
| 1720333743 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Road, Lagrange, GA 30240 | 2012-07-16 |
| 1366768459 | Karin Taylor | Physical Medicine & Rehabilitation | 1600 Vernon Rd Ste A, Lagrange, GA 30240 | 2010-04-14 |
| 1871819458 | Kathryn J Hill | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240 | 2010-04-08 |
| 1285802751 | Air Evac Ems, Inc. | Ambulance | 455 Aerotron Pkwy, Lagrange, GA 30240 | 2008-02-18 |
| Find all providers in zip 30240 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356959001 | Amy Elizabeth Robinson | Nurse Practitioner | 2169 W Point Rd, Lagrange, GA 30240-4002 | 2020-07-20 |
| 1144859224 | Jamie Danielle Oubre | Nurse Practitioner | 3335 Hamilton Rd, Lagrange, GA 30241-8716 | 2020-04-02 |
| 1538705694 | Jennifer Costello | Nurse Practitioner | 336 Forest St, Lagrange, OH 44050-9685 | 2019-11-25 |
| 1184288920 | Michelle Denise Mcmickin | Nurse Practitioner | 52 Woodmont Dr, Lagrange, GA 30241-7703 | 2019-04-26 |
| 1326491663 | Jennifer Cline Taunton | Nurse Practitioner | 110 Kildare Ct, Lagrange, GA 30240-9583 | 2016-07-21 |
| 1285064931 | Sj &j Medical Group and Urgent Care | Nurse Practitioner | 304 Smith St, Lagrange, GA 30240-2746 | 2013-11-16 |
| 1700226107 | Jessica Marie Harrison | Nurse Practitioner | 102 Main St Ste 204, Lagrange, GA 30240-3225 | 2013-06-28 |
| 1659691848 | Janet L Cox | Nurse Practitioner | 1786 Commerce Pkwy, Lagrange, KY 40031-8786 | 2010-06-10 |
| 1801128459 | Stephanie White | Nurse Practitioner | 1075 Lafayette Pkwy Ste 210, Lagrange, GA 30241-3733 | 2010-02-08 |
| 1053331546 | Harry Rafael Sevilla Abilla | Nurse Practitioner | 310 North Davis Street, Lagrange, GA 30240 | 2006-07-20 |
| Find all providers in LAGRANGE | ||||
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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.