TIFFANY ICE (NPI# 1417373291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417373291 |
| Entity Type | Individual |
| Full Name | TIFFANY ICE |
| Practice Address |
312 Solley Dr Ballwin MO 63021-5248 |
| Practice Telephone | 6363910666 |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 2008027075 | MO | Other Service Providers |
| Street Address |
312 SOLLEY DR |
| City | BALLWIN |
| State | MO |
| Zip Code | 63021-5248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669478665 | West County Care Center, Inc. | Skilled Nursing Facility | 312 Solley Dr, Ballwin, MO 63021-5248 | 2005-06-23 |
| 1356841571 | Kristin Myers | Speech-Language Pathologist | 312 Solley Dr, Ballwin, MO 63021-5248 | 2018-02-14 |
| 1750544177 | Laura Jeep Dougherty | Speech-Language Pathologist | 312 Solley Dr, Ballwin, MO 63021-5248 | 2008-07-07 |
| 1871791921 | Maryjane Amad | Physical Therapy Assistant | 312 Solley Dr, Ballwin, MO 63021-5248 | 2007-07-10 |
| 1861698938 | Amy Marie Parker | Occupational Therapist | 312 Solley Dr, Ballwin, MO 63021-5248 | 2007-06-25 |
| 1114122843 | Judith M Kaufman | Occupational Therapy Assistant | 312 Solley Dr, Ballwin, MO 63021-5248 | 2007-06-21 |
| 1225035702 | Community Care Centers, Inc. | Durable Medical Equipment & Medical Supplies | 312 Solley Dr, Rear, Ballwin, MO 63021-5248 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972121176 | Elise Marie Webster | Dietitian, Registered | 822 Posthorn Dr., Manchester, MO 63021 | 2020-07-14 |
| 1386164713 | Our Care LLC | Internal Medicine | 1742 Carman Ridge Ct, Ballwin, MO 63021 | 2017-06-27 |
| 1134675788 | Summit Home Healthcarre, LLC | Home Health | 11511 Manchester Road, Ellisville, MO 63021 | 2016-09-01 |
| 1730530114 | Windalee Cowell-mccavron | Speech-Language Pathologist | 332 Old State Rd, Ellisville, MO 63021 | 2016-06-27 |
| 1013386598 | 16111 Manchester Road, L.L.C. | Dentist | 428 Old State Rd., Ellisville, MO 63021 | 2015-09-15 |
| 1609285816 | Daniel Rackovan | Specialist/Technologist | 13537 Barret Pkwy Dr, 105, Ballwin, MO 63021 | 2014-08-13 |
| 1952651341 | Faisal Alasmari | General Acute Care Hospital | 13928 Reflection Drive, Reflection Cove Apartments, Apt#235, Ballwin, MO 63021 | 2012-09-13 |
| 1831444694 | Manuel A. Ventus | General Practice | 651 Kerryton Pl. Circle, Balwin, MD 63021 | 2012-07-18 |
| 1073879052 | Delois Ann Hurst | Podiatrist | 1393 Big Bend Rd, Ballwin, MO 63021 | 2012-04-04 |
| 1841566445 | Elizabeth Riedel | Home Health | 13610 Barrett Office Drive, Manchester, MO 63021 | 2012-03-28 |
| Find all providers in zip 63021 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851723548 | Ashley Ellen Smith | Specialist | 3025 Arbor Station Ct, Ballwin, MO 63021-7187 | 2013-08-05 |
| 1609073451 | Debra Kay Bryant | Specialist | 444 Sovereign Ct., Suite A, Ballwin, MO 63011-4432 | 2007-06-27 |
| 1356497119 | Cynthia Renee Ballentine | Specialist | 811 Nykiel Ct, Ballwin, MO 63011-4244 | 2007-01-26 |
| 1295775021 | Radiology Consultants Midwest Inc | Specialist | 201 Enchanted Pkwy, Ballwin, MO 63021-5493 | 2006-06-08 |
| 1952508277 | Aba Consulting Services, LLC | Specialist | 444 Sovereign Ct., Ballwin, MO 63011-4432 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497381990 | Styles 40 Salon | Specialist | 4550 Gravois Ave, Saint Louis, MO 63116-2426 | 2020-03-16 |
| 1013560721 | Against The Grainz | Specialist | 8523 Drury Ln, Saint Louis, MO 63147-1313 | 2019-07-22 |
| 1487211033 | Kia Lanay Lewis | Specialist | 9700 Portage Dr, Saint Louis, MO 63136-5312 | 2019-05-20 |
| 1659935815 | Nicole Pittman | Specialist | 3004 Chance Dr, Florissant, MO 63031-1436 | 2019-04-23 |
| 1376011007 | Lashonda S Wash | Specialist | 222 Bruce Ave, Saint Louis, MO 63135-2704 | 2018-11-12 |
| 1326516048 | Showna Walker | Specialist | 2242 Berwyn Dr, Saint Louis, MO 63136-5415 | 2018-11-12 |
| 1306326061 | Sleek Barber & Beauty Salon | Specialist | 13220 New Halls Ferry Rd, Florissant, MO 63033-3231 | 2018-08-21 |
| 1760973697 | Angela Haas | Specialist | 1361 Childress Ave, Saint Louis, MO 63139-3451 | 2018-05-26 |
| 1164913497 | Gina Marie Savage | Specialist | 2400 Troost Ave Ste 3400, Kansas City, MO 64108-2666 | 2018-05-22 |
| 1962907782 | Kelsey Conley | Specialist | 2839 Howard St, Saint Louis, MO 63106-2027 | 2018-03-25 |
| Find all providers with the same taxonomy | ||||
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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.