TIFFANY GORAN LOCKE (NPI# 1881842854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881842854 |
| Entity Type | Individual |
| Full Name | TIFFANY GORAN LOCKE |
| Credential | PA-C |
| Practice Address |
4410 N Midkiff Rd Ste D6 Midland TX 79705-4249 |
| Practice Telephone | 4326896000 |
| Practice Fax Number | 4326896003 |
| Mailing Telephone | 4326896000 |
| Mailing Fax Number | 4326896003 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2012-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA04364 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700172558 | Tiffany Locke | Nurse Practitioner | 1840 Medical Center Pkwy, Ste 300, Murfreesboro, TN 37129-2564 | 2011-06-21 |
| 1225329444 | Tiffany A Locke | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr Nw, Canton, OH 44718-2384 | 2011-04-21 |
| Street Address |
4410 N MIDKIFF RD STE D6 |
| City | MIDLAND |
| State | TX |
| Zip Code | 79705-4249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639329949 | Courtyard Primary Care & Medical Spa,pa | Clinic/Center | 4410 N Midkiff Rd Ste D6, Midland, TX 79705-4249 | 2008-09-23 |
| 1164066387 | Devin Duane Knapp | Nurse Practitioner | 4410 N Midkiff Rd Ste D6, Midland, TX 79705-4249 | 2019-10-31 |
| 1851865067 | Jeffery Thomas Dickson | Family Medicine | 4410 N Midkiff Rd Ste D6, Midland, TX 79705-4249 | 2019-01-22 |
| 1497166045 | Kevin Edward Salas | Nurse Practitioner | 4410 N Midkiff Rd Ste D6, Midland, TX 79705 | 2014-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949915 | Diyora Amanova | Dentist | 2817-b, Loop 250 Frontage Rd, Midland, TX 79705 | 2020-07-08 |
| 1821610205 | Winners Circle Group of Tx | Community/Behavioral Health | 4405 N Garfield Street, Apt. 1005, Midland, TX 79705 | 2020-05-08 |
| 1619523644 | Lillian Moreno | Physician Assistant | 3600 N Garfield St., Midland, TX 79705 | 2019-08-15 |
| 1689229429 | Michelle Ray | Student in an Organized Health Care Education/Training Program | Texas Tech University Health Science Center, 3600 N. Garfield, Midland, TX 79705 | 2019-08-08 |
| 1649825001 | Marlene Cereceres | Student in an Organized Health Care Education/Training Program | 3600 N. Garfield, Midland, TX 79705 | 2019-08-02 |
| 1194370627 | Brianne Marie Hanson | Student in an Organized Health Care Education/Training Program | 3600 North Garfield, Midland, TX 79705 | 2019-08-01 |
| 1841844685 | Stephanie Ann Johnson | Student in an Organized Health Care Education/Training Program | Texas Tech University Health Sciences Center, 3600 N. Garfield, Midland, TX 79705 | 2019-07-30 |
| 1013560093 | Andrea Silva | Licensed Practical Nurse | 2903 Ncr 1140, Midland, TX 79705 | 2019-07-19 |
| 1417509332 | Ananya Das | Physician Assistant | 3600 North Garfield St., Midland, TX 79705 | 2019-07-11 |
| 1023571767 | Wecare Tlc- Pioneer Mco | Clinic/Center | 3617 N Big Sping, Midland, TX 79705 | 2019-04-10 |
| Find all providers in zip 79705 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417509332 | Ananya Das | Physician Assistant | 3600 North Garfield St., Midland, TX 79705 | 2019-07-11 |
| 1023679867 | Michael Daniel Howson | Physician Assistant | 2592 N Tamarack Dr, Midland, MI 48642-7888 | 2019-06-24 |
| 1952865057 | Morgan Elizabeth Sims | Physician Assistant | 4214 Andrews Hwy Ste 110, Midland, TX 79703-4864 | 2019-01-23 |
| 1811470867 | Catherine Rhea Randall | Physician Assistant | 4401 Campus Ridge Dr Ste 2040, Midland, MI 48640-6125 | 2018-09-14 |
| 1568973675 | Eric Lee Wright | Physician Assistant | 111 E Wackerly St Ste B, Midland, MI 48642-7043 | 2017-10-16 |
| 1861917718 | Megan Amanda Dawkins | Physician Assistant | 3501 W Illinois Ave, Midland, TX 79703-5606 | 2017-08-11 |
| 1215485719 | Midland Clinic Pllc | Physician Assistant | 801 Tradewinds Blvd, Ste B, Midland, TX 79706-0000 | 2016-09-14 |
| 1336432046 | Ashley Thrasher Bell | Physician Assistant | 3600 N Garfield, Ttuhsc Pa Program, Midland, TX 79707 | 2011-05-27 |
| 1386959039 | Lori R Benninghoff | Physician Assistant | 1900 W Wall, Suite A, Midland, TX 79701-6534 | 2010-08-18 |
| 1902124266 | Deeanna Emmalynn Kenny | Physician Assistant | 4401 Campus Ridge Dr Ste 1000, Midland, MI 48640-6125 | 2010-05-12 |
| Find all providers in MIDLAND | ||||
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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.