TIFFANY TYLER (NPI# 1609316264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609316264 |
| Entity Type | Individual |
| Full Name | TIFFANY TYLER |
| Credential | APRN-CNP |
| Practice Address |
5050 E Kenosha St Broken Arrow OK 74014-6711 |
| Practice Telephone | 9183359492 |
| Mailing Telephone | 9183559492 |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2018-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
99349 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679080154 | Tiffany Denise Tyler | Contractor | 301 Garlington Ave Apt 97, Waycross, GA 31503-2715 | 2018-01-05 |
| 1447807821 | Tiffany Tyler | Speech-Language Pathologist | 2600 Compass Rd, Glenview, IL 60026-8001 | 2019-08-21 |
| 1932553492 | Tiffany Tyler | Pharmacist | 1575 W Pacheco Blvd, Los Banos, CA 93635-8505 | 2016-04-20 |
| 1003279852 | Tiffany Marie Tyler | Counselor | 908 Tuolumne St, Vallejo, CA 94590-4641 | 2016-03-30 |
| Street Address |
5050 E KENOSHA ST |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74014-6711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972154185 | Karlee Campbell Van Dam | Physician Assistant | 5050 E Kenosha St, Broken Arrow, OK 74014-6711 | 2019-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013110 | Team Clinic Management Partners LLC | Clinic/Center | 4300 E Gary Street, Broken Arrow, OK 74014 | 2020-08-12 |
| 1497306260 | Donna Norton | Technician | 5311 East Madison Place, Broken Arrow, OK 74014 | 2019-09-24 |
| 1588159420 | Guadalupe Luis | Social Worker | 8000 E New Orleans St, Broken Arrow, OK 74014 | 2018-06-23 |
| 1083102099 | Hailey Elaine Kimball | Specialist/Technologist | 7251 South 301st East Avenue, Broken Arrow, OH 74014 | 2018-04-25 |
| 1508365800 | Kayla Porche | Speech-Language Pathologist | 3500 E Kenosha, Broken Arrow, OK 74014 | 2018-02-02 |
| 1073973392 | Heather Miller | Behavioral Analyst | 932 Hillcrest Drive, Broken Arrow, OK 74014 | 2016-02-29 |
| 1346518677 | Julie Genet Henry | Speech-Language Pathologist | 3294 S 202nd East Ave, Broken Arrow, OK 74014 | 2011-12-01 |
| 1619265212 | Katie Leigh Elliott | Physician Assistant | 7301 E Nashville St, Broken Arrow, OK 74014 | 2011-07-16 |
| 1407084676 | Jeremiah D Wilhite | Physical Therapist | 2560 East Kenosha Street, Broken Arrow, OK 74014 | 2009-06-26 |
| 1194963041 | Longnecker Counseling and Consulting | Counselor | 7014 S. 235th E. Ave., Broken Arrow, OK 74014 | 2009-01-30 |
| Find all providers in zip 74014 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104435999 | Julie Marie Kelly | Nurse Practitioner | 1615 S Eucalyptus Ave Ste 210, Broken Arrow, OK 74012-5993 | 2020-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492618 | Jessica Kearney | Nurse Practitioner | 8116 Nw 161st Ter, Edmond, OK 73013-5510 | 2020-09-17 |
| 1346852191 | Oludari Olutokunbo Olajide | Nurse Practitioner | 10700 N Council Rd Apt 3, Oklahoma City, OK 73162-4366 | 2020-08-21 |
| 1124638192 | Amanda Rushing | Nurse Practitioner | 705 E Atlanta Ave, Davis, OK 73030-2982 | 2020-08-05 |
| 1750999413 | Staci Y Williams | Nurse Practitioner | 5606 Sw Lee Blvd Ste 203, Lawton, OK 73505-9651 | 2020-07-20 |
| 1063030088 | Kristal Ladawn Vasquez | Nurse Practitioner | 4019 North Flood Ave, Normam, OK 73069 | 2020-07-07 |
| 1144847542 | Premier Healthcare, Aprn-cnp | Nurse Practitioner | 12208 South Western Avenue, Suite B, Oklahoma City, OK 73170 | 2020-07-01 |
| 1578184560 | Heather Elaine Fry | Nurse Practitioner | 1908 E Gore Blvd Ste A, Lawton, OK 73501-6129 | 2020-04-30 |
| 1972137511 | Danielle Nicole Hurd | Nurse Practitioner | 1532 N Boston Pl, Tulsa, OK 74106-4104 | 2020-02-22 |
| 1427689215 | Bodyworx Primary Care, LLC | Nurse Practitioner | 4019 N Flood Ave, Norman, OK 73069 | 2020-01-30 |
| 1053968818 | Erin Olmsted | Nurse Practitioner | 3400 W Tecumseh Rd Ste 105, Norman, OK 73072-1810 | 2019-08-26 |
| Find all providers with the same taxonomy | ||||
| City | BROKEN ARROW |
| Zip Code | 74014 |
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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.