TIFFANY ROLLER (NPI# 1952705329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952705329 |
| Entity Type | Individual |
| Full Name | TIFFANY ROLLER |
| Practice Address |
607 Buchanan St Carthage IL 62321-1401 |
| Mailing Address |
700 Se Cross St Mount Sterling IL 62353-1561 |
| Practice Telephone | 2173573176 |
| Practice Fax Number | 2173576609 |
| Mailing Telephone | 2177733325 |
| Mailing Fax Number | 2177732425 |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2014-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 043.109673 | IL | Nursing Service Providers |
| Street Address |
607 BUCHANAN ST |
| City | CARTHAGE |
| State | IL |
| Zip Code | 62321-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871713602 | Lindsey Wagner | Counselor | 607 Buchanan St, Mental Health Centers of Western Illinois, Carthage, IL 62321 | 2007-04-26 |
| 1902381346 | Nicole Nichols | Counselor | 607 Buchanan St, Carthage, IL 62321-1401 | 2018-10-02 |
| 1356827562 | Erin Chu | Counselor | 607 Buchanan St, Carthage, IL 62321-1401 | 2018-07-11 |
| 1063930451 | Jennifer Teel | Licensed Practical Nurse | 607 Buchanan St, Carthage, IL 62321-1401 | 2017-09-06 |
| 1518411800 | Keela Nichols | Social Worker | 607 Buchanan St, Carthage, IL 62321-1401 | 2016-08-04 |
| 1710335096 | Mental Health Centers of Western Illinois | Day Training, Developmentally Disabled Services | 607 Buchanan St, Carthage, IL 62321-1401 | 2016-05-27 |
| 1851755276 | Mental Health Centers of Western Illinois | Community/Behavioral Health | 607 Buchanan St, Carthage, IL 62321-1401 | 2016-04-12 |
| 1407254840 | Chad Taylor | Counselor | 607 Buchanan St, Carthage, IL 62321-1401 | 2014-12-17 |
| 1326320417 | Kaci Ellefritz | Counselor | 607 Buchanan St, Carthage, IL 62321-1401 | 2011-09-14 |
| 1023300282 | Mental Health Centers of Western Illinois | Community/Behavioral Health | 607 Buchanan St, Carthage, IL 62321-1401 | 2011-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558825364 | Unitypoint At Home | Home Health | 96 S Madison B, Carthage, IL 62321 | 2019-01-25 |
| 1740725340 | Hancock County Senior Services | Assisted Living Facility | 404 S Adams Street, Carthage, IL 62321 | 2017-01-05 |
| 1841431913 | Hancock County Supportive Living | Assisted Living Facility | 400 S Adams Street, Carthage, IL 62321 | 2009-03-18 |
| 1134349970 | Joe N Little | Counselor | 607 Buchanan Street, Mental Health Centers of Western Illinois, Carthage, IL 62321 | 2007-04-26 |
| 1427124817 | Mchugh Drug Store LLC | Pharmacy | 70 South Madison St, Carthage, IL 62321 | 2006-11-28 |
| 1619058278 | Charles F Eddingfield Md | General Practice | 25 South Adams Street, Carthage, IL 62321 | 2006-10-18 |
| 1922198910 | Michelle Lee Nelson | Chiropractor | 524 Buchanan St, Carthage, IL 62321 | 2006-10-13 |
| 1104938497 | Richard Lee Vance | Chiropractor | 524 Buchanan, Carthage, IL 62321 | 2006-08-31 |
| 1679038699 | Merritt Family Chiropractic | Chiropractor | 62 S Madison St, Carthage, IL 62321 | 2019-02-04 |
| 1811489917 | Matthew Jordan Merritt | Chiropractor | 62 S Madison St, Carthage, IL 62321 | 2018-06-04 |
| Find all providers in zip 62321 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760025316 | Danielle Lachele Nier | Licensed Practical Nurse | 35789 Jackson II Rd, Carthage, NY 13619 | 2019-10-25 |
| 1225581135 | Tricia Jiraud | Licensed Practical Nurse | 31915 Nys Rt 126, Carthage, NY 13619-8505 | 2016-07-27 |
| 1538525464 | Tammy Thomas | Licensed Practical Nurse | 35810 Jackson II Rd, Carthage, NY 13619-8517 | 2016-01-07 |
| 1710377874 | Jaymee Lee Reynolds | Licensed Practical Nurse | 258 Champion St Apt 208, Carthage, NY 13619-3364 | 2015-01-28 |
| 1750720793 | Angie M Greenfield | Licensed Practical Nurse | 5047 Rogers Crossing Rd, Carthage, NY 13619-6105 | 2013-06-24 |
| 1871852483 | Stephanie Hazel Dunn | Licensed Practical Nurse | 57 Champion St, Carthage, NY 13619-1160 | 2012-05-16 |
| 1538327622 | Mercedes Leander Pallandino | Licensed Practical Nurse | 35309 Jackson II Rd, Carthage, NY 13619-8521 | 2008-05-27 |
| 1386851319 | Corina Sanders | Licensed Practical Nurse | 651 S James St, Carthage, NY 13619-1521 | 2007-05-17 |
| 1336289271 | Tammy Lynn Gebo | Licensed Practical Nurse | 258 Champion St, Apt 503, Carthage, NY 13619-3361 | 2007-02-08 |
| 1396896999 | Laurile Ann Higgins | Licensed Practical Nurse | 24148 Pennock Rd, Carthage, NY 13619-9556 | 2007-01-12 |
| Find all providers in CARTHAGE | ||||
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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.