TIFFANI WOOD (NPI# 1639521719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639521719 |
| Entity Type | Individual |
| Full Name | TIFFANI WOOD |
| Credential | ATC |
| Practice Address |
1120 Doreen Ave Apt 1 Waterloo IA 50701-3353 |
| Practice Telephone | 5154083027 |
| Mailing Telephone | 5154083027 |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 2000025845 | IA | Student, Health Care |
| Street Address |
1120 DOREEN AVE APT 1 |
| City | WATERLOO |
| State | IA |
| Zip Code | 50701-3353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548757586 | Shawna Harvey | Optometrist | 999 Home Plz Ste 100, Waterloo, IA 50701 | 2018-04-16 |
| 1831693290 | Blue Gregory Boyer | Counselor | 3362 University Ave., Waterloo, IA 50701 | 2018-03-21 |
| 1518460666 | Tom Taylor | Specialist | 974 Home Plaza, Waterloo, IA 50701 | 2018-03-15 |
| 1194247551 | Homelink Sanford | Durable Medical Equipment & Medical Supplies | 1111 W San Marnan Drive, Waterloo, IA 50701 | 2017-07-07 |
| 1932471109 | Walgreens | Pharmacy | 111 W Ridgeway Avenue, Waterloo, IA 50701 | 2012-02-03 |
| 1598055188 | Knox Eyecare | Optometrist | 1030 Alabar Ave., Waterloo, IA 50701 | 2011-04-15 |
| 1013222330 | Ashley Lynn Charmichael | Dentist | 220 W. Ridgeway Ave., Suite 201, Waterloo, IA 50701 | 2010-08-11 |
| 1396062311 | Gwendoline Fang | Obstetrics & Gynecology | 1015 S. Hackett Road Suite 200, Department of Ob/gyn, Waterloo, IA 50701 | 2010-04-29 |
| 1013234194 | Ryan Norman Borgwardt | Dentist | 820 Fisher Drive, Waterloo, IA 50701 | 2010-04-28 |
| 1629302310 | Rhonda Kay Herum | Social Worker | 3731 Pheasant Lane #203, Waterloo, IA 50701 | 2009-09-28 |
| Find all providers in zip 50701 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114253994 | Michelle Herczeg | Student in an Organized Health Care Education/Training Program | 1400 State Route 96, Apt C28, Waterloo, NY 13165-9564 | 2009-10-28 |
| 1750845954 | Stephanie Anne Giesler | Student in an Organized Health Care Education/Training Program | 3251 W 9th St, Waterloo, IA 50702-5310 | 2019-01-22 |
| 1477034510 | Nancy Orlopp | Student in an Organized Health Care Education/Training Program | 31 Thurber Dr, Waterloo, NY 13165-1665 | 2018-08-27 |
| 1982115994 | Leathia Sharee Flores | Student in an Organized Health Care Education/Training Program | 31 Thurber Dr, Waterloo, NY 13165-1665 | 2017-10-17 |
| 1093224719 | Amy Guarino | Student in an Organized Health Care Education/Training Program | 31 Thurber Dr, Waterloo, NY 13165-1665 | 2017-09-26 |
| 1093231045 | Hadley Janet O'bryan | Student in an Organized Health Care Education/Training Program | 31 Thurber Dr, Waterloo, NY 13165-1665 | 2017-08-21 |
| 1376837955 | Sussan Mbi Ndakor | Student in an Organized Health Care Education/Training Program | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2011-06-01 |
| 1114231321 | Patricia M D'arduini | Student in an Organized Health Care Education/Training Program | 31 Thurber Dr, Waterloo, NY 13165-1649 | 2010-07-29 |
| 1407180094 | Tulsi Sharma | Student in an Organized Health Care Education/Training Program | 2710 Saint Francis Dr, Ste 510, Waterloo, IA 50702-5619 | 2009-09-29 |
| 1942455746 | Jayachandra Babu Vavilathota | Student in an Organized Health Care Education/Training Program | 146 W Dale St, Suite 201, Waterloo, IA 50703-1901 | 2008-11-20 |
| Find all providers in WATERLOO | ||||
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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.