MS. TIFFANY RENEE JACKSON (NPI# 1851613251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851613251 |
| Entity Type | Individual |
| Full Name | MS. TIFFANY RENEE JACKSON |
| Credential | M.S.ED. |
| Practice Address |
5533 Litchfield St Philadelphia PA 19143-4714 |
| Practice Telephone | 2673208598 |
| Mailing Telephone | 2673208598 |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2010-02-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 171W00000X | PA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902432875 | Tiffany Jackson | Technician | 712 N Jenison Ave, Lansing, MI 48915-1309 | 2020-03-23 |
| 1336781335 | Tiffany Lashun Jackson | Contractor | 1718 Northside Dr Apt O3, Valdosta, GA 31602-1558 | 2019-10-10 |
| 1073161642 | Tiffany Michelle Jackson | Registered Nurse | 4982 Peppers Ferry Rd, Wytheville, VA 24382-4966 | 2019-08-27 |
| 1245892694 | Tiffany Nicole Jackson | Counselor | 6292 Dyke Rd, Chittenango, NY 13037-9404 | 2019-07-06 |
| 1851875116 | Tiffany Andrea Jackson | Case Manager/Care Coordinator | 1095 Golden Lakes Blvd Apt 913, West Palm Beach, FL 33411-3353 | 2018-09-21 |
| 1992046734 | Tiffany Jackson | Licensed Practical Nurse | 4746 Walford Rd Apt 2, Warrensville Heights, OH 44128-5151 | 2013-03-04 |
| 1871801399 | Tiffany Jan'nelle Jackson | Dentist | 2550 Windmill Ln Ste 145, Henderson, NV 89074-5500 | 2010-09-17 |
| 1619289212 | Tiffany C. Jackson | Massage Therapist | 904 S Main St, Pleasant Grove, UT 84062-3560 | 2010-07-12 |
| 1942491063 | Tiffany R Jackson | Obstetrics & Gynecology | 7217 Telecom Parkway, Suite 290, Garland, TX 75044 | 2007-08-05 |
| 1952501553 | Tiffany Hope Jackson | Counselor | 14811 Sabine Dr, La Mirada, CA 90638-2144 | 2007-07-20 |
| Street Address |
5533 LITCHFIELD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19143-4714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215554142 | Trusted Hands Care Professionals LLC | In Home Supportive Care | 1130 South Paxon Street, Philadelphia, PA 19143 | 2020-06-26 |
| 1477189140 | Kareemah Anjail Abdullah | Counselor | 5307 Chelen Ave, Philadelphia, PA 19143 | 2020-03-13 |
| 1336604024 | Mohamed Keita | Non-emergency Medical Transport (VAN) | 5030 Warrington Avenue, Philadelphia, PA 19143 | 2019-02-06 |
| 1366924011 | Whitney Tamika Carter | Specialist/Technologist | 5526 Ridgewood St, Philadelphia, PA 19143 | 2018-08-29 |
| 1639662190 | Mattew Muchnick | Physical Therapist | 4730 Hazel Ave 2r, Philadelphia, PA 19143 | 2018-06-10 |
| 1750883062 | Optimal Support for Everyday Lives | Case Management | 5800 Springfield Avenue, Philadelphia, PA 19143 | 2018-03-02 |
| 1205352671 | New Visions Case Management & Consulting, LLC | Social Worker | 726 S 55th Street, Philadelphia, PA 19143 | 2017-08-17 |
| 1104342583 | Mercy Management of Southeastern Pennsylvania | Orthopaedic Surgery | 501 S 54th St Ste 28, Phila, PA 19143 | 2017-08-17 |
| 1093238388 | Blessed Hands Home Care Agency L.L.C. | Home Health | 433 S. 57th Street, Phila, PA 19143 | 2017-07-19 |
| 1891216529 | Ashley Seiver | Occupational Therapist | 923 S. 46th Street, Philadelphia, PA 19143 | 2017-07-03 |
| Find all providers in zip 19143 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427694223 | Oluwafemi Abodunde | Contractor | 450 Byberry Rd Apt B44, Philadelphia, PA 19116-4012 | 2019-11-27 |
| 1710452040 | Samantha R Billings | Contractor | 220 S 47th St, Philadelphia, PA 19139-4426 | 2018-10-13 |
| 1386173250 | Jacqueline Butler | Contractor | 7120 Valley Ave, Philadelphia, PA 19128-3206 | 2017-06-05 |
| 1700312998 | Terrance Cook | Contractor | 37 S Millick St, Philadelphia, PA 19139-3033 | 2017-05-07 |
| 1275072498 | Sederia Brown | Contractor | 142 E Pleasant St, Philadelphia, PA 19119-2144 | 2017-02-21 |
| 1457801201 | Amber Zeigler | Contractor | 702 N 3rd St, Pmb 770, Philadelphia, PA 19123-2904 | 2016-10-05 |
| 1245698398 | Tiffani Ellis-ingram | Contractor | 6484 Ross St, Philadelphia, PA 19119-2333 | 2016-02-03 |
| 1700257029 | Mohamed Koubassi Jabati | Contractor | 1229 Hale St, Philadelphia, PA 19111-5829 | 2015-10-13 |
| 1386044485 | Ballah A Kabbah | Contractor | 6418 Elmwood Ave, Philadelphia, PA 19142-3110 | 2014-08-26 |
| 1831495118 | Kianna Lasha Foster | Contractor | 7636 Wyndale Ave, Philadelphia, PA 19151-2707 | 2011-02-02 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19143 |
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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.