DR. TIFFANY ANN JENNINGS (NPI# 1912145640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912145640 |
Entity Type | Individual |
Full Name | DR. TIFFANY ANN JENNINGS |
Credential | PSYD |
Practice Address |
920 Pierremont Rd Ste 205 Shreveport LA 71106-2093 |
Mailing Address |
224 White Oak Ln Natchitoches LA 71457-6708 |
Practice Telephone | 3186064785 |
Practice Fax Number | 8667864201 |
Mailing Telephone | 3185273535 |
Enumeration Date | 2009-02-03 |
Last Update Date | 2017-02-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 1148 | LA | Behavioral Health & Social Service Providers |
N | 103TC0700X |
Psychologist Specialization: Clinical |
1148 | LA | Behavioral Health & Social Service Providers |
N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
1148 | LA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447862461 | Tiffany Jennings | Technician | 39 Virginia Pine Dr, Wardensville, WV 26851-8438 | 2020-08-20 |
1134214315 | Tiffany J Jennings | Counselor | 1002 S Fisk St, Suit 160, Green Bay, WI 54304-2270 | 2006-10-04 |
1972167138 | Tiffany Jennings | Behavior Technician | 2928 Jefferson St Ste 100, Carlsbad, CA 92008-2374 | 2019-04-23 |
1497274906 | Tiffany Jennings | Social Worker | 882 Oakman Blvd, Detroit, MI 48238-3710 | 2017-09-15 |
Street Address |
920 PIERREMONT RD STE 205 |
City | SHREVEPORT |
State | LA |
Zip Code | 71106-2093 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326062076 | Neonatal Care Specialists, Inc. | Pediatrics | 920 Pierremont Rd, Suite 200, Shreveport, LA 71106-2079 | 2006-07-26 |
1467780411 | Jamie Griswold Scoggin | Social Worker | 920 Pierremont Rd, Suite 205, Shreveport, LA 71106-2079 | 2009-12-03 |
1316271877 | Andy Sibley Counseling Services, Inc. | Clinic/Center | 920 Pierremont Rd, Suite 205, Shreveport, LA 71106-2079 | 2009-09-30 |
1811186224 | Jennifer Allison Albritton | Social Worker | 920 Pierremont Rd, Suite 312, Shreveport, LA 71106-2079 | 2007-10-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
1548775885 | David Wayne Spears | Pharmacist | 10460 Norris Ferry Road, Shreveport, LA 71106 | 2017-12-08 |
1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
1144753708 | Laverne Brantley | Counselor | 328 E 69th St, Shreveport, LA 71106 | 2017-04-10 |
1437690849 | Biostat Laboratories, LLC | Clinical Medical Laboratory | 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 | 2017-03-17 |
1841730728 | Cedric Thomas | Case Manager/Care Coordinator | 6811 Fairfield Avenue, Shreveport, LA 71106 | 2017-02-27 |
1225576192 | Nick Vergis | Pharmacist | 5828 Line Avenue, Shreveport, LA 71106 | 2017-02-10 |
1184162554 | Marilyn Johnson | Case Manager/Care Coordinator | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-02-06 |
1417499740 | Pamela Lee | Counselor | 8802 Coyth Ln, Shreveport, LA 71106 | 2016-11-17 |
Find all providers in zip 71106 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073826186 | Roquel A Williams | Clinical Neuropsychologist | 566 E 71st St, Shreveport, LA 71106-4404 | 2010-07-17 |
1649370495 | Samuel Webb Sentell | Clinical Neuropsychologist | 649 Millicent Way, Shreveport, LA 71106 | 2006-09-22 |
1386612042 | Ronald A. Goebel | Clinical Neuropsychologist | 3341 Youree Dr Ste 20a, Shreveport, LA 71105-2149 | 2006-03-09 |
1265972095 | Jan E. Whitaker | Clinical Neuropsychologist | 2525 Youree Dr, Shreveport, LA 71104-3671 | 2017-02-27 |
1588858104 | Comprehensive Assessments, Inc | Clinical Neuropsychologist | 4300 Youree Dr, Suite 200 Building 2, Shreveport, LA 71105-3329 | 2007-08-28 |
1760536510 | Thomas E Staats | Clinical Neuropsychologist | 4300 Youree Dr, Suite 200, Shreveport, LA 71105-3329 | 2007-01-22 |
1174534259 | John Nicholson Leavitt | Clinical Neuropsychologist | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2006-08-11 |
1609809912 | James B Pinkston | Clinical Neuropsychologist | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2006-07-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841776077 | Anneliese Catherine Boettcher | Clinical Neuropsychologist | 1514 Jefferson Hwy Fl 6, New Orleans, LA 70121-2429 | 2018-07-11 |
1013392869 | Kimberly S Hutchinson | Clinical Neuropsychologist | 1 Lakeshore Dr Ste 1610, Lake Charles, LA 70629-0117 | 2015-07-22 |
1184967499 | Julie Anne Alvarez | Clinical Neuropsychologist | 1555 Poydras St Ste 1200, Southeast Louisiana Veterans Health Care System, New Orleans, LA 70112-3710 | 2013-04-04 |
1003165069 | Dian Evans | Clinical Neuropsychologist | 7000 Magazine St, New Orleans, LA 70118-4876 | 2012-09-06 |
1295974210 | Gina Lynn Gibson | Clinical Neuropsychologist | 1602 W Pinhook Rd Ste 303, Lafayette, LA 70508-3735 | 2009-02-14 |
1508072216 | John Truman Fanning | Clinical Neuropsychologist | 4440 Canal Street, New Orleans, LA 70119-6021 | 2007-05-16 |
1265586085 | Psychological Resources, P.C. | Clinical Neuropsychologist | 5 Platt Dr, Kenner, LA 70065-1018 | 2007-01-22 |
1194877811 | Karen Rinardo Speier | Clinical Neuropsychologist | 650 Steele Boulevard, Baton Rouge, LA 70806-5742 | 2007-01-16 |
1114012614 | Vincent Anthony Escandell | Clinical Neuropsychologist | 2495 Shreveport, Highway 71 North, Pineville, LA 71360 | 2006-10-03 |
1083637698 | James W. Quillin | Clinical Neuropsychologist | 1016 Calais Cir, Alexandria, LA 71303-2307 | 2006-07-25 |
Find all providers with the same taxonomy |
City | SHREVEPORT |
Zip Code | 71106 |
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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.