TIFFANY SHEREE SMITH (NPI# 1699374314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699374314 |
| Entity Type | Individual |
| Full Name | TIFFANY SHEREE SMITH |
| Credential | CTRS, CARSS1 |
| Practice Address |
508 Fulton St # 117c Durham NC 27705-3875 |
| Practice Telephone | 9192860411 |
| Mailing Telephone | 9192860411 |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2020-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285265579 | Tiffany Smith | Dietitian, Registered | 2649 Nw 124th Ave, Coral Springs, FL 33065-8008 | 2020-01-27 |
| 1295374015 | Tiffany Smith | Behavior Technician | 550 E Mckellips Rd Apt 2067, Mesa, AZ 85203-9627 | 2019-12-26 |
| 1386288652 | Tiffany Louise Smith | Behavior Technician | 301 E Main St Ste 1, Willow Springs, MO 65793-1423 | 2019-10-30 |
| 1326509340 | Tiffany Darnice Smith | Nurse's Aide | 1114 Brookview Dr Apt 19, Toledo, OH 43615-7270 | 2019-03-31 |
| 1396244133 | Tiffany Smith | Licensed Practical Nurse | 180 Broad St, Staten Island, NY 10304-2173 | 2018-02-07 |
| 1750899134 | Tiffany Rene Smith | Prosthetist | 469 J E Clark Cv, Marion, AR 72364-2308 | 2018-01-18 |
| 1376891663 | Tiffany Taylor Smith | Speech-Language Pathologist | 1277 Highway 511, Corbin, KY 40701-8487 | 2012-08-17 |
| 1811219454 | Tiffany A Smith | Licensed Practical Nurse | 138 Blackwell Ln, Henrietta, NY 14467-9730 | 2010-02-24 |
| 1467600932 | Tiffany Nicole Smith | Speech-Language Pathologist | 807 Wharton Rd, Mount Laurel, NJ 08054-5267 | 2008-09-08 |
| 1801912886 | Tiffany L Smith | Counselor | 10 Foster Ave Ste 1a, Gibbsboro, NJ 08026-1162 | 2007-03-22 |
| Street Address |
508 FULTON ST # 117C |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-3875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811194731 | Department of Veterans Affairs Medical Center | Military Hospital | 508 Fulton St # 117c, Va Medical Center Mrs. Demetri, Durham, NC 27705-3875 | 2007-07-03 |
| 1528667243 | Rashonna Avery | Recreation Therapist | 508 Fulton St # 117c, Durham, NC 27705-3875 | 2020-10-23 |
| 1992304745 | Kendra Darcel Monden | Recreation Therapist | 508 Fulton St # 117c, Durham, NC 27705-3875 | 2020-10-22 |
| 1033718895 | Erica Dickens | Music Therapist | 508 Fulton St # 117c, Durham, NC 27705-3875 | 2020-10-22 |
| 1326647181 | Abena Kai Jones-boone | Recreation Therapist | 508 Fulton St # 117c, Durham, NC 27705-3875 | 2020-10-22 |
| 1740459361 | Demetris Devane Mcleod | Military Health Care Provider | 508 Fulton St # 117c, Durham, NC 27705-3875 | 2008-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667243 | Rashonna Avery | Recreation Therapist | 508 Fulton St # 117c, Durham, NC 27705-3875 | 2020-10-23 |
| 1245839083 | Jessica Elizabeth Cornett | Recreation Therapist | 508 Fulton St, Durham, NC 27705-3875 | 2020-10-22 |
| 1992304745 | Kendra Darcel Monden | Recreation Therapist | 508 Fulton St # 117c, Durham, NC 27705-3875 | 2020-10-22 |
| 1326647181 | Abena Kai Jones-boone | Recreation Therapist | 508 Fulton St # 117c, Durham, NC 27705-3875 | 2020-10-22 |
| 1043819808 | Rebecca Parker Maccioli | Recreation Therapist | 508 Fulton St, Durham, NC 27705-3875 | 2020-10-22 |
| 1629511910 | Bryan Mcfarland | Recreation Therapist | 459 Wallingford Rd, Durham, CT 06422-1125 | 2016-11-18 |
| 1740650977 | Northeast Passage Program of The University of New Hampshire | Recreation Therapist | 4 Library Way, G-1 Hewitt Hall, Durham, NH 03824-3520 | 2015-09-30 |
| 1467499517 | Jean L Wipperman | Recreation Therapist | 508 Fulton St, Pm&rs 117, Durham, NC 27705-3875 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194356170 | Shaverence Lawanda Outlaw | Recreation Therapist | 3890 Old Vineyard Rd Apt 86b, Winston Salem, NC 27104-4880 | 2020-01-29 |
| 1043876493 | Home Again Senior Living Communities, LLC | Recreation Therapist | 1348 Westgate Center Dr, Winston Salem, NC 27103-2984 | 2019-05-10 |
| 1578037073 | Family First Physical Therapy L.L.C. | Recreation Therapist | 2726 Barringer Dr, Charlotte, NC 28208-7008 | 2019-01-17 |
| 1629593454 | Wesley Tyler | Recreation Therapist | 9139b Trinity Rd, Charlotte, NC 28216-1900 | 2017-08-14 |
| 1962923474 | Vernice Dolores Gallon Clyburn | Recreation Therapist | 126 S Rose Ave, Kannapolis, NC 28083-3552 | 2017-07-06 |
| 1316334618 | Shannon O'rawe | Recreation Therapist | 1707 Waterclose Ct, Apex, NC 27502-6264 | 2015-04-24 |
| 1073928685 | Allison Westpfahl | Recreation Therapist | 1208 Ben Williams Rd, Richlands, NC 28574-5128 | 2014-06-23 |
| 1467722736 | Melissa Sue Walker | Recreation Therapist | 6213 Lowergate Dr, Waxhaw, NC 28173-6747 | 2012-01-04 |
| 1881971174 | Melissa Hunt Lewis | Recreation Therapist | 4907 Creekside Dr, New Bern, NC 28562-5007 | 2011-11-15 |
| 1992002893 | Lois Stanga Harvin | Recreation Therapist | 1607 Temple St Sw, Valdese, NC 28690-9330 | 2011-02-12 |
| 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.