TIFFANY DEGNAN (NPI# 1871953075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871953075 |
| Entity Type | Individual |
| Full Name | TIFFANY DEGNAN |
| Practice Address |
4815 Burning Tree Rd Duluth MN 55811-3800 |
| Practice Telephone | 2187330707 |
| Practice Fax Number | 2187330717 |
| Mailing Telephone | 2187330707 |
| Mailing Fax Number | 2187330717 |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2016-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0400X |
Registered Nurse Specialization: Case Management |
224473 | WI | Nursing Service Providers |
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
225516-7 | MN | Nursing Service Providers |
| Street Address |
4815 BURNING TREE RD |
| City | DULUTH |
| State | MN |
| Zip Code | 55811-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578714192 | Marne Lee Johnson | Registered Nurse | 4815 Burning Tree Rd, Duluth, MN 55811-3800 | 2008-10-01 |
| 1497298293 | Healthstar / First Nations | Case Management | 4815 Burning Tree Rd, Duluth, MN 55811-3800 | 2016-11-28 |
| 1780132696 | Hp Psychological Associates, PC | Community/Behavioral Health | 4815 Burning Tree Rd, Duluth, MN 55811-3800 | 2016-09-20 |
| 1962862375 | Jamie Marie Grills | Registered Nurse | 4815 Burning Tree Rd, Duluth, MN 55811-3800 | 2016-02-26 |
| 1417317827 | Ma-retta Camp | Registered Nurse | 4815 Burning Tree Rd, Duluth, MN 55811-3800 | 2016-02-26 |
| 1184020125 | Krystal Siegle | Registered Nurse | 4815 Burning Tree Rd, Duluth, MN 55811-3800 | 2014-11-18 |
| 1619383593 | Whitney Love | Registered Nurse | 4815 Burning Tree Rd, Duluth, MN 55811-3800 | 2014-07-11 |
| 1538571831 | Jessica M Downs | Registered Nurse | 4815 Burning Tree Rd, Duluth, MN 55810 | 2014-05-21 |
| 1932544822 | Jamie Joseph Tuura | Registered Nurse | 4815 Burning Tree Rd, Duluth, MN 55811-3800 | 2013-05-06 |
| 1346590809 | Denise Elizabeth James | Registered Nurse | 4815 Burning Tree Rd, Suite 100, Duluth, MN 55811-3800 | 2012-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417515339 | Kyle Olson-merrick | Dentist | 320 W Myrtle St, Ste 100, Duluth, MN 55811 | 2019-06-05 |
| 1184288979 | Pdg, P.a. | Clinic/Center | 4891 Miller Truck Hwy., Suite 100, Hermantown, MN 55811 | 2019-04-26 |
| 1528589843 | Breanna Joy Greenly | Counselor | 4720 Burning Tree Road, Birch Tree Center, Duluth, MN 55811 | 2017-06-28 |
| 1396102398 | Debbie Christian | Registered Nurse | 4815 Burning Tree Rd Suite 100, Duluth, MN 55811 | 2016-01-21 |
| 1831556935 | Megan Marie Paris | Psychologist | 715 East Central Entrance, Duluth, MN 55811 | 2016-01-20 |
| 1740666908 | Angela Fedo | Physical Therapy Assistant | 2101 Trinity Rd, Duluth, MN 55811 | 2015-08-10 |
| 1649657479 | Kayla Stephenson | Specialist/Technologist | 5024 Morris Thomas Road, Hermantown, MN 55811 | 2015-04-30 |
| 1073918843 | Northern Lives Inc. | Assisted Living Facility | 4014 Trinity Road, Duluth, MN 55811 | 2014-10-23 |
| 1114326238 | Donald Hermanson | Specialist/Technologist | 801 Boulder Drive, Apt. 202, Duluth, MN 55811 | 2014-08-14 |
| 1679990857 | Jodie Little | Pharmacist | 801 W. Central Entrance, Shopko Pharmacy 2114, Duluth, MN 55811 | 2014-03-25 |
| Find all providers in zip 55811 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134762404 | Crystal Marie Macfarlane | Registered Nurse | 2232 Jefferson St, Duluth, MN 55812-2114 | 2019-10-19 |
| 1871082354 | Shelly Lynn Manthey | Registered Nurse | 2701 W Superior St Ste 101, Duluth, MN 55806-1857 | 2018-05-09 |
| 1750648846 | Jodi Johannessen | Registered Nurse | 4961 Rice Lake Rd Ste 105, Duluth, MN 55803-8439 | 2012-04-13 |
| 1497387450 | Nichol Lynn Sedivy | Registered Nurse | 2701 W Superior St Ste 101, Duluth, MN 55806-1857 | 2020-02-07 |
| 1730643560 | Lisa Bruzek | Registered Nurse | 4961 Rice Lake Rd Ste 105, Duluth, MN 55803-8439 | 2019-01-25 |
| 1447721154 | Molly Dwyer Drewlo | Registered Nurse | 4961 Rice Lake Rd Ste 105, Duluth, MN 55803-8439 | 2018-12-07 |
| 1376014084 | Timothy Lyle Fellman | Registered Nurse | 4961 Rice Lake Rd Ste 105, Duluth, MN 55803-8439 | 2018-12-07 |
| 1568956381 | Yvonne I Monien | Registered Nurse | 810 E 4th St, Duluth, MN 55805-2147 | 2018-06-15 |
| 1962862375 | Jamie Marie Grills | Registered Nurse | 4815 Burning Tree Rd, Duluth, MN 55811-3800 | 2016-02-26 |
| 1417317827 | Ma-retta Camp | Registered Nurse | 4815 Burning Tree Rd, Duluth, MN 55811-3800 | 2016-02-26 |
| Find all providers in DULUTH | ||||
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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.