TIFFANY DOUGLAS (NPI# 1629448964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629448964 |
| Entity Type | Organization |
| Organization Name | TIFFANY DOUGLAS |
| Practice Address |
1 Soldiers Field Park Apt 501 Boston MA 02163-1722 |
| Practice Telephone | 8644233561 |
| Mailing Telephone | 8644233561 |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-09-29 |
| Authorized Official Name | TIFFANY DOUGLAS (FNP/ PRIMARY CARE PROVIDER) |
| Authorized Official Telephone | 8644233561 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | RN2299504 | MA | Ambulatory Health Care Facilities |
| Street Address |
1 SOLDIERS FIELD PARK APT 501 |
| City | BOSTON |
| State | MA |
| Zip Code | 02163-1722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023475076 | Calleigh Fangmeyer | Specialist/Technologist | 65 North Harvard Street, Boston, MA 02163 | 2016-01-21 |
| 1073732129 | Michael W Johnson | Internal Medicine | Harvard University, Cumnock Hall, Cambridge, MA 02163 | 2007-04-25 |
| 1326173576 | Cynthia A Austin | Specialist | 65 N. Harvard Street, Boston, MA 02163 | 2007-02-21 |
| 1730379835 | Lisa M Barna | Internal Medicine | 33 Harvard Way, Harvard University Health Services, Boston, MA 02163 | 2007-07-26 |
| 1841419256 | Chad J Krawiec | Specialist/Technologist | 65 N Harvard St, Murr Center, Boston, MA 02163-1010 | 2007-04-24 |
| 1093349466 | Diana Marie Priestman | Specialist/Technologist | 65 N Harvard St, Boston, MA 02163-1010 | 2020-02-25 |
| 1417459322 | Chloe Isabella Amaradio | Specialist/Technologist | 65 N Harvard St, Boston, MA 02163-1010 | 2018-03-06 |
| 1821597378 | Breanna Nicole Richards | Specialist/Technologist | 65 N Harvard St, Cambridge, MA 02163-1010 | 2018-02-09 |
| 1821597501 | Elizabeth Boyington | Specialist/Technologist | 65 N Harvard St, Boston, MA 02163-1010 | 2018-02-07 |
| 1740724400 | Jordan Knight | Specialist/Technologist | 65 N Harvard St, Murr Center, Boston, MA 02163-1010 | 2016-12-14 |
| Find all providers in zip 02163 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639678253 | Alison Renee Greco | Clinic/Center | 20 Newbury St Ste 4, Boston, MA 02116-3289 | 2018-02-09 |
| 1972930063 | Massachusetts Mind Center LLC | Clinic/Center | 376 Boylston St, Ste 403, Boston, MA 02116-3812 | 2013-10-03 |
| 1043340326 | Latino Health Institute Inc | Clinic/Center | 95 Berkeley St Fl 6, Boston, MA 02116-6230 | 2007-03-06 |
| 1902410640 | Talk2me LLC | Clinic/Center | 90 Canal St Fl 4, Boston, MA 02114-2018 | 2020-09-01 |
| 1942869342 | Mattapan Community Health Center Inc | Clinic/Center | 1575 Blue Hill Ave, Boston, MA 02126-2122 | 2019-06-10 |
| 1811405830 | Collins Medical Consulting | Clinic/Center | 70 Fulton St, Boston, MA 02109-1402 | 2018-01-11 |
| 1750799110 | Mcphs University | Clinic/Center | 179 Longwood Ave, Boston, MA 02115-5804 | 2014-07-30 |
| 1306259692 | Copley Dental Emergency Care | Clinic/Center | 551 Boylston St, Suite 501, Boston, MA 02116-3605 | 2014-06-04 |
| 1952687881 | Massachusetts Eye and Ear | Clinic/Center | 800 Huntington Ave, Boston, MA 02115-6303 | 2011-10-24 |
| 1982848222 | Massachusetts General Physicians Organization | Clinic/Center | 151 Merrimac St, 5th Floor, Boston, MA 02114-4714 | 2009-04-30 |
| Find all providers in BOSTON | ||||
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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.