MRS. TIFFANY JEAN KRUMM (NPI# 1720348097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720348097 |
| Entity Type | Individual |
| Full Name | MRS. TIFFANY JEAN KRUMM |
| Other Name | MS. TIFFANY JEAN BILLINGTON |
| Credential | L.P.C. |
| Practice Address |
1032 S Bridge Way Pl Eagle ID 83616-6099 |
| Practice Telephone | 2084750800 |
| Practice Fax Number | 2082460125 |
| Mailing Telephone | 2084750800 |
| Mailing Fax Number | 2082460125 |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | LPC-4758 | ID | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LPC-4758 | ID | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-4758 | ID | Behavioral Health & Social Service Providers |
| N | 101YS0200X |
Counselor Specialization: School |
LPC-4758 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750910733 | Tiffany Jo Krumm | Behavior Technician | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2020-04-02 |
| Street Address |
1032 S BRIDGE WAY PL |
| City | EAGLE |
| State | ID |
| Zip Code | 83616-6099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285773879 | William Blair | Social Worker | 1032 S Bridge Way Pl, Suite 100, Eagle, ID 83616-6099 | 2007-02-06 |
| 1124395900 | Patricia Rose Koepl | Nurse Practitioner | 1032 S Bridge Way Pl, Suite 100, Eagle, ID 83616-6099 | 2011-11-22 |
| 1073811097 | Bridgeway Health Services, LLC | Clinic/Center | 1032 S Bridge Way Pl, Eagle, ID 83616-6099 | 2011-03-01 |
| 1356481790 | Grant B Belnap | Psychiatry & Neurology | 1032 S Bridge Way Pl, Suite 100, Eagle, ID 83616-6099 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714049 | Care Medical Housecalls PC | Nurse Practitioner | 2040 E Holgate Ct, Eagle, ID 83616 | 2020-03-06 |
| 1629613823 | Counseling Solutions Center LLC | Marriage & Family Therapist | 2618 East Snocreek, Eagle, ID 83616 | 2019-11-12 |
| 1245726918 | Tracy Lyn Hagadorn | Midwife | 182 State Street, Eagle, ID 83616 | 2018-07-06 |
| 1861922627 | Nicholas A. Stelzner | Counselor | 2419 W. State St. Suite 8, Boise, ID 83616 | 2017-06-14 |
| 1184080210 | Gabriel Guerrero | Dermatology | 323 E Riverside Dr Ste 234, Eagle, ID 83616 | 2016-01-05 |
| 1376940668 | Cecilia Jo Hickam | Dental Hygienist | 1121 E. State Street, Suite - 102-d, Eagle, ID 83616 | 2014-12-02 |
| 1871912634 | Christine E Birch | Psychiatry & Neurology | 1032 S Bridgeway Pl Ste 110, Eagle, ID 83616 | 2014-04-09 |
| 1043552524 | Tori Croshaw | Social Worker | 372 S Eagle Rd Ste 190, Eagle, ID 83616 | 2013-03-21 |
| 1053650010 | Kellie Ann Northam | Nurse Practitioner | 192 West State Street, Eagle, ID 83616 | 2013-02-11 |
| 1437494457 | Mary Beth Roehling | Nurse Practitioner | 2040 E Hologate Ct, Eagle, ID 83616 | 2012-12-03 |
| Find all providers in zip 83616 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356834881 | Patricia Taylor | Counselor | 1046 N Snead Pl, Eagle, ID 83616-6508 | 2018-06-09 |
| 1619323649 | Joshua Bynum | Counselor | 651 N Eagle Rd, Eagle, ID 83616-5007 | 2016-05-09 |
| 1811265325 | Lynda Smith | Counselor | 316 E Kite Dr, Eagle, ID 83616-5378 | 2011-12-12 |
| 1801034715 | Jon Robert Worbets | Counselor | 216 N Storybook Way, Eagle, ID 83616 | 2009-01-30 |
| 1306018049 | Audra Jean Bryant | Counselor | 228 E Plaza St Ste B, Pmb#137, Eagle, ID 83616-5982 | 2008-04-01 |
| 1881870095 | Michele Harris | Counselor | 927 W Cherry Bello Dr, Eagle, ID 83616-6980 | 2008-01-17 |
| 1972510063 | Elizabeth Ann Giles-ihling | Counselor | 136 S Academy Ave Ste C, Eagle, ID 83616-6541 | 2006-08-02 |
| 1922504638 | Sage Counseling and Hypnotherapy, LLC | Counselor | 651 N Eagle Rd, Eagle, ID 83616-5007 | 2018-04-02 |
| 1649674888 | Modern Psychotherapy Services | Counselor | 4875 W Athens Ct, Eagle, ID 83616-5138 | 2014-10-17 |
| 1427473594 | Shaunna Bach | Counselor | 4060 E Chinden Blvd, Eagle, ID 83616-6481 | 2014-02-26 |
| Find all providers in EAGLE | ||||
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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.