TIFFANY RICHARDSON (NPI# 1467912345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467912345 |
| Entity Type | Individual |
| Full Name | TIFFANY RICHARDSON |
| Practice Address |
1100 W 6th Ave Gary IN 46402-1711 |
| Mailing Address |
1166 New Jersey St Gary IN 46403-3581 |
| Practice Telephone | 2198854264 |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372979 | Tiffany Richardson | Specialist/Technologist | 1411 Ne Scenic Rdg, Elgin, OK 73538-4200 | 2020-10-08 |
| 1144635954 | Tiffany Richardson | Home Health | 1224 S Irby St, Florence, SC 29505-2753 | 2014-07-01 |
| 1437714144 | Tiffany S Richardson | Social Worker | 260 S Marion Ave Ste 105, Lake City, FL 32025-7034 | 2019-05-08 |
| 1881167872 | Tiffany T Richardson | Social Worker | 3027 San Diego Rd, Jacksonville, FL 32207-3691 | 2019-01-02 |
| 1245715168 | Tiffany Richardson | Case Manager/Care Coordinator | 132 Lower Ridge Rd, Conway, AR 72032-8518 | 2018-09-26 |
| 1427565266 | Tiffany Richardson | Physician Assistant | 605 Glenwood Dr Ste 200, Chattanooga, TN 37404-1130 | 2018-01-02 |
| 1013366038 | Tiffany Richardson | Counselor | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2016-06-09 |
| 1699115832 | Tiffany Smith Richardson | Licensed Practical Nurse | 1250 S Manufacturers Row, Trenton, TN 38382-3632 | 2013-07-02 |
| 1689918930 | Tiffany Levonne Richardson | Occupational Therapist | 550 N Monterey Ave, Ontario, CA 91764-3318 | 2012-11-26 |
| 1114279700 | Tiffany Richardson | Nurse Anesthetist, Certified Registered | 21120 Washington Pkwy, Frankfort, IL 60423-3112 | 2012-10-08 |
| Street Address |
1100 W 6TH AVE |
| City | GARY |
| State | IN |
| Zip Code | 46402-1711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912970229 | Mathew V Castelino | Psychiatry & Neurology | 1100 W 6th Ave, Gary, IN 46402-1711 | 2006-02-08 |
| 1578162087 | Laura Lisseth Robles | Technician, Other | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-10-26 |
| 1013516939 | Laresse Harris | Nurse Practitioner | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-10-21 |
| 1245838762 | Alexis Katherine Neylon | Technician, Other | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-10-16 |
| 1386242378 | Ameena R Rucker | Case Manager/Care Coordinator | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-10-13 |
| 1215535372 | Brittany Marie Comer | Specialist/Technologist | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-10-12 |
| 1093321549 | Curtis Freeman | Case Manager/Care Coordinator | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-09-21 |
| 1174136980 | Shania Johnson | Technician | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-08-31 |
| 1669080248 | Syreeta Newsom | Technician | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-07-20 |
| 1841808433 | Andrea W Johnson | Technician | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790154417 | Edgewater Systerms for Balanced Living | Community/Behavioral Health | 1106 West 6 Th Avenue, Gary, IN 46402 | 2015-09-23 |
| 1447642772 | Michael Pirtle | Counselor | 1100 W. Fifth Ave, Gary, IN 46402 | 2015-02-24 |
| 1356748370 | Peter F Uchman | Social Worker | 1100 W. 6th Ave., Gary, IN 46402 | 2014-11-20 |
| 1295142594 | Demetria A Macon | Counselor | 1100 W. 6th Ave, Gary, IN 46402 | 2014-07-18 |
| 1396952503 | 21st Century Charter School At Gary | Local Education Agency (LEA) | 556 W Washington, Gary, IN 46402 | 2007-05-17 |
| 1609094630 | Jomon Mathew | Physical Therapist | 353 Tyler St, Gary, IN 46402 | 2007-04-23 |
| 1376677138 | Kovilparambil Xavier Antony | Psychiatry & Neurology | 1100 W 6th Avenue, Gary, IN 46402 | 2007-03-15 |
| 1588759013 | Waltee Douglas | Psychologist | 667 Van Buren, Gary, IN 46402 | 2006-10-03 |
| 1851332514 | Thessa Grace Robertson | Emergency Medicine | 600 Grant Street, Gary, IN 46402 | 2006-06-10 |
| 1932672888 | The Methodist Hospitals, Inc | Pharmacy | 600 Grant St, Gary, IN 46402 | 2019-01-03 |
| Find all providers in zip 46402 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265049845 | Rebecca Soboleski | Peer Specialist | 4747 W 24th Ave, Gary, IN 46406-2821 | 2020-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548879158 | Laura Kiefer | Peer Specialist | 2629 Marcy Ln, Fort Wayne, IN 46806-2591 | 2020-07-29 |
| 1619538949 | Brialle Walker | Peer Specialist | 941 Becker St, Hammond, IN 46320-2110 | 2019-06-26 |
| 1114425907 | Jenniffer J Friskney | Peer Specialist | 680 W Parkway Dr, Pleasant Lake, IN 46779-9513 | 2018-01-25 |
| 1457717183 | Renee Ivy | Peer Specialist | 7060 Madison St, Merrillville, IN 46410-3452 | 2016-01-11 |
| 1093186181 | Nancy Paschal | Peer Specialist | 17707 Auburn Rd, Huntertown, IN 46748-9760 | 2015-10-14 |
| 1922637149 | Richard Wyatt Sampson | Peer Specialist | 7941 Castleway Dr, Indianapolis, IN 46250-1953 | 2020-04-08 |
| 1003445420 | Amber Wehle | Peer Specialist | 521 E 86th Ave Ste H, Merrillville, IN 46410-6236 | 2020-04-07 |
| 1598394108 | Sarah E Hoyt | Peer Specialist | 3351 N Meridian St Ste 110, Indianapolis, IN 46208-4674 | 2020-04-06 |
| 1700415213 | Kristy Marie Shene | Peer Specialist | 3351 N Meridian St Ste 110, Indianapolis, IN 46208-4674 | 2020-04-06 |
| 1811389182 | Anna Edens-szeszycki | Peer Specialist | 2105 N Meridian St, Suite 102, Indianapolis, IN 46202-1491 | 2015-02-24 |
| 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.