TIFFANY MARIE ROBERTS (NPI# 1659791424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659791424 |
| Entity Type | Individual |
| Full Name | TIFFANY MARIE ROBERTS |
| Credential | APRN, PNP |
| Practice Address |
13700 Pride Port Hudson Rd Pride LA 70770-9200 |
| Mailing Address |
2051 Silverside Dr Suite 260 Baton Rouge LA 70808-9005 |
| Practice Telephone | 2256580293 |
| Practice Fax Number | 2256589368 |
| Mailing Telephone | 2254908882 |
| Mailing Fax Number | 2257659085 |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2020-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP07744 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN114454AP07744 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1937 S Burnside Ave, Gonzales, LA 707374632 | 2257655500 | 2256449286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649749862 | Tiffany Brooke Roberts | Specialist/Technologist | 13942 Sw 43rd St, Davie, FL 33330-5735 | 2018-11-16 |
| 1740702240 | Tiffany Nicole Roberts | Behavior Technician | 309 Sw 80th Ave, Miami, FL 33144-2119 | 2017-07-17 |
| 1033502240 | Tiffany Roberts | Registered Nurse | 700 Victory Blvd Apt 5b, Staten Island, NY 10301-3506 | 2015-03-12 |
| 1003100728 | Tiffany Juterbock Roberts | Marriage & Family Therapist | 1202 Morena Blvd., Suite 300, San Diego, CA 92110 | 2011-05-31 |
| 1700101854 | Tiffany Denise Roberts | Licensed Practical Nurse | 1838 Lakenoll Dr, Cincinnati, OH 45231-5118 | 2010-04-01 |
| 1649880014 | Tiffany J Roberts | Family Medicine | 2812 Hartford Hwy, Dothan, AL 36305-4927 | 2020-07-31 |
| 1134697444 | Tiffany Roberts | Behavioral Analyst | 445 E Dublin Granville Rd, Worthington, OH 43085-3192 | 2018-11-05 |
| 1861990780 | Tiffany Tomiye Roberts | Nurse Practitioner | 2293 Sugar Hill Rd Ste D, Marion, NC 28752-7787 | 2018-01-25 |
| 1760909667 | Tiffany Roberts | Speech-Language Pathologist | 2474 E Joyce Blvd Ste 2, Fayetteville, AR 72703-4932 | 2017-08-23 |
| 1629448543 | Tiffany Brenda Joy Roberts | Nurse Practitioner | 2905 Highway 77, Panama City, FL 32405-5013 | 2015-10-05 |
| Street Address |
13700 PRIDE PORT HUDSON RD |
| City | PRIDE |
| State | LA |
| Zip Code | 70770-9200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689946394 | Leslie Jane Johnson-simmons | Social Worker | 13700 Pride Port Hudson Rd, Pride, LA 70770-9200 | 2012-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891913661 | Health Care Centers In Schools | Clinic/Center | 13700 Pride-port Hudson Road, Pride, LA 70770 | 2007-04-24 |
| 1427275502 | Health Care Centers In Schools | Clinic/Center | 13801 Pride-port Hudson Road, Pride, LA 70770 | 2007-04-19 |
| 1932494978 | Deborah Romero Ashford | Nurse Practitioner | 15375 Tom Drehr Rd, Pride, LA 70770-9218 | 2011-06-17 |
| 1821277898 | Hershel Fisk Morris IIi | Nurse Anesthetist, Certified Registered | 17245 Morris Rd, Pride, LA 70770-9500 | 2007-10-26 |
| 1447475645 | Patricia Treloar Peairs | Pediatrics | 16666 Hubbs Rd, Pride, LA 70770-9786 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932494978 | Deborah Romero Ashford | Nurse Practitioner | 15375 Tom Drehr Rd, Pride, LA 70770-9218 | 2011-06-17 |
| 1821277898 | Hershel Fisk Morris IIi | Nurse Anesthetist, Certified Registered | 17245 Morris Rd, Pride, LA 70770-9500 | 2007-10-26 |
| 1891913661 | Health Care Centers In Schools | Clinic/Center | 13700 Pride-port Hudson Road, Pride, LA 70770 | 2007-04-24 |
| 1427275502 | Health Care Centers In Schools | Clinic/Center | 13801 Pride-port Hudson Road, Pride, LA 70770 | 2007-04-19 |
| 1447475645 | Patricia Treloar Peairs | Pediatrics | 16666 Hubbs Rd, Pride, LA 70770-9786 | 2007-04-16 |
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138473 | Nickolas Matthews | Nurse Practitioner | 1307 Crowley Rayne Hwy Ste B, Crowley, LA 70526-8210 | 2020-09-14 |
| 1841809258 | Brandi Schwab | Nurse Practitioner | 157 Belington Ave, Madisonville, LA 70447-9109 | 2020-07-31 |
| 1780293878 | Cornerstone Childrens Clinic LLC | Nurse Practitioner | 44546 S Airport Rd Ste F, Hammond, LA 70403-0312 | 2020-07-24 |
| 1629691530 | Bayou Pediatrics | Nurse Practitioner | 2649 Arkansas Rd, West Monroe, LA 71291-8617 | 2020-05-27 |
| 1295376374 | Tatjana Michele Mimes | Nurse Practitioner | 3975 I 49 S Service Rd Ste 201, Opelousas, LA 70570-0775 | 2019-09-30 |
| 1063067411 | Arwa Mohammed Mohammed | Nurse Practitioner | 101 Medical Park Blvd Ste A, Pineville, LA 71360-8426 | 2019-08-02 |
| 1477118065 | Erin L Hurt | Nurse Practitioner | 59101 Amber St, Slidell, LA 70461-3708 | 2019-05-08 |
| 1033679501 | Laura Elizabeth Williamson | Nurse Practitioner | 501 Medical Center Dr Ste 100, Alexandria, LA 71301-8124 | 2019-03-21 |
| 1043703010 | Samantha Lee Lovecchio | Nurse Practitioner | 120 Ochsner Blvd Ste 245, Gretna, LA 70056-5280 | 2018-06-13 |
| 1225539620 | Micah Aaron Callais | Nurse Practitioner | 604 N. Acadia Road, Suite 200, Thibodaux, LA 70301 | 2018-02-22 |
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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.