TIFFANY NICOLE CASSIDY (NPI# 1932629979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932629979 |
| Entity Type | Individual |
| Full Name | TIFFANY NICOLE CASSIDY |
| Credential | MSN, RN, CPNP-AC |
| Practice Address |
3037 Silverwood Dr Saginaw MI 48603-2171 |
| Mailing Address |
1447 N Harrison St Saginaw MI 48602-4727 |
| Practice Telephone | 9897921895 |
| Practice Fax Number | 9897922235 |
| Mailing Telephone | 9895834114 |
| Mailing Fax Number | 9895831349 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2018-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0222X |
Nurse Practitioner Specialization: Pediatrics, Critical Care |
4704304030 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3037 SILVERWOOD DR |
| City | SAGINAW |
| State | MI |
| Zip Code | 48603-2171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528038197 | Tai Kang Sr. | Radiology | 3037 Silverwood Dr, Saginaw, MI 48603-2171 | 2006-01-25 |
| 1689180416 | Latoya Tekema Woods-williams | Nurse Practitioner | 3037 Silverwood Dr, Saginaw, MI 48603-2171 | 2017-12-15 |
| 1356542880 | Jessica L Frantz | Physician Assistant | 3037 Silverwood Dr, Saginaw, MI 48603-2171 | 2007-05-31 |
| 1194733469 | Bilal T Bazzi | Family Medicine | 3037 Silverwood Dr, Saginaw, MI 48603-2171 | 2006-08-03 |
| 1295752210 | Shahzad Sadiq | Radiology | 3037 Silverwood Dr, Saginaw, MI 48603-2171 | 2006-07-16 |
| 1588691950 | Marina Ivanovna Ananich | Radiology | 3037 Silverwood Dr, Saginaw, MI 48603-2171 | 2006-06-28 |
| 1326019332 | George Polanco | Radiology | 3037 Silverwood Dr, Saginaw, MI 48603-2171 | 2006-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503952 | Kimberly Michelle Cole | Social Worker | 2823 Pimlico Ln, Saginaw, MI 48603 | 2019-11-20 |
| 1669035895 | Kristine Anna Roberts | Massage Therapist | 3175 Christy Way 8, Saginaw, MI 48603 | 2019-04-14 |
| 1114413069 | Sabrina Shunnarah | Behavioral Analyst | 3267 Schust Road, Apt. 101, Saginaw, MI 48603 | 2018-07-03 |
| 1740708528 | Alexandra Jennette Hengy | Student in an Organized Health Care Education/Training Program | 4287 Harbour Towne Dr Apt. 6, Saginaw, MI 48603 | 2017-08-31 |
| 1003345380 | Karissa Irene Piar | Social Worker | 2100 Hemmeter Rd., Saginaw, MI 48603 | 2017-06-08 |
| 1922537281 | Anita Rick | Behavior Technician | 3949 N. River Road, Freeland, Mi 48623, Freeland, MI 48603 | 2017-06-08 |
| 1417300393 | Saginaw County Community Mental Health Authority | In Home Supportive Care | 3875 Bay Rd., Saginaw, MI 48603 | 2016-07-15 |
| 1992154009 | Tricity Diagnostics, LLC | Physiological Laboratory | 3055 Enterprise Drive, Suite 2, Saginaw, MI 48603 | 2016-06-09 |
| 1659744571 | Janet Lee Smith | Social Worker | 4341 Barnard Rd, Saginaw, MI 48603 | 2015-11-02 |
| 1255656757 | Joseph Edward Chmielewski | Chiropractor | 4266 State St., Saginaw, MI 48603 | 2010-03-29 |
| Find all providers in zip 48603 | ||||
| Taxonomy Code | 363LP0222X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073935383 | Courtney Elyse Fezzey | Nurse Practitioner | 3200 E Lafayette St, Detroit, MI 48207-3812 | 2014-01-07 |
| 1053650291 | Michelle Mcnaughton | Nurse Practitioner | 5301 Beaubien Street, Detroit, MI 48201 | 2013-02-07 |
| 1801407119 | Samantha Mulkiten | Nurse Practitioner | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-08-11 |
| 1104301910 | Kacee Anne Harris-jones | Nurse Practitioner | 3901 Beaubien St, Detroit, MI 48201-2119 | 2018-09-27 |
| 1144731621 | Erica Danielle Curtis | Nurse Practitioner | 3901 Beaubien St, Detroit, MI 48201-2119 | 2017-10-23 |
| 1851760870 | Rebecca Lynn Tompkins | Nurse Practitioner | 1500 E Medical Center Dr, 11th Floor C.s. Mott Children's Hospital, Ann Arbor, MI 48109-4204 | 2015-09-21 |
| 1922492750 | Megan Worley | Nurse Practitioner | 3901 Beaubien St, 2nd Fl Carls Bldg, Detroit, MI 48201-2119 | 2015-03-18 |
| 1124449459 | Blythe Pollack | Nurse Practitioner | 1500 E Medical Center Dr, 10th Floor C.s. Mott Children's Hospital, Ann Arbor, MI 48109-4286 | 2014-01-06 |
| 1154664753 | Kenneth James Early | Nurse Practitioner | 3901 Beaubien St, Detroit, MI 48201-2119 | 2013-04-02 |
| 1477875045 | Cortney Lynn Mazur | Nurse Practitioner | 3901 Beaubien St, Detroit, MI 48201-2119 | 2010-02-23 |
| Find all providers with the same taxonomy | ||||
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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.