TIFFANY BROOKE BOARDWINE (NPI# 1972979565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972979565 |
| Entity Type | Individual |
| Full Name | TIFFANY BROOKE BOARDWINE |
| Practice Address |
13039 King Mill Pike Bristol VA 24202-4405 |
| Practice Telephone | 2762024032 |
| Mailing Telephone | 2762024032 |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | T66522665 | VA | Other Service Providers |
| Street Address |
13039 KING MILL PIKE |
| City | BRISTOL |
| State | VA |
| Zip Code | 24202-4405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568977940 | Renaissance Medical Care | Family Medicine | 284 Blevins Boulevard, Bristol, VA 24202 | 2017-12-07 |
| 1467725879 | Leighton W Wood Dds Ms P.C. | Dentist | 103 Linden Square Drive, Bristol, VA 24202 | 2012-02-15 |
| 1285828640 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 13249 Lee Highway, Bristol, VA 24202 | 2007-08-29 |
| 1154462117 | Emdee Clinica, Pllc | Clinic/Center | 23164 Kestrel Dr, Bristol, VA 24202 | 2007-02-10 |
| 1053355859 | Commonweatlh of Virginia State Board of Health | Public Health or Welfare | 15068 Lee Highway, Suite 1000, Bristol, VA 24202 | 2006-06-15 |
| 1891775193 | William Daryl Wilson | Dentist | 15068 Lee Hwy, Ste 1000 Washington Co Health Dept, Bristol, VA 24202 | 2006-01-20 |
| 1457832123 | Justin Scott Pennington | Physical Therapist | 136 Bristol East Rd, Bristol, VA 24202 | 2018-08-22 |
| 1588104335 | Timothy G. Mcgarry, Md, Pllc | Orthopaedic Surgery | 21371 Forsythe Rd, Bristol, VA 24202 | 2017-02-27 |
| 1669532560 | Washington Co Health Dept Dental Clinic | Dentist | 15068 Lee Highway, Suite 1000, Bristol, VA 24202 | 2006-12-11 |
| 1437568946 | Family Preservation Services, Inc | Community/Behavioral Health | 7741 Rich Valley Rd, Bristol, VA 24202-0439 | 2014-08-08 |
| Find all providers in zip 24202 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841717717 | Joel Blevins | Driver | 301 Webb Ct, Bristol, TN 37620 | 2017-08-23 |
| 1265796510 | Carolyn Ruth Coomer | Driver | 1400 Windsor Ave, Bristol, TN 37620-2070 | 2012-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385375 | David Lee Rosenbaum | Driver | 127 Hemlock St, Marion, VA 24354-4403 | 2020-10-31 |
| 1902404627 | Kevin Mercer | Driver | 703 W 14th St, Front Royal, VA 22630-2915 | 2020-10-14 |
| 1417554288 | Kenneth Donnell Coles | Driver | 44 W Sherwood Ave, Hampton, VA 23663-1403 | 2020-10-05 |
| 1992302673 | Rodney Larmont Carter Sr. | Driver | 205 Maple Springs Dr, Axton, VA 24054-2303 | 2020-10-05 |
| 1487261921 | Chantrise N Ratliff | Driver | 553 Jessica Cir, Newport News, VA 23606-3761 | 2020-09-29 |
| 1285240523 | Burley Walter Ball Jr. | Driver | 4313 Buckingham Rd, Coeburn, VA 24230 | 2020-09-22 |
| 1639785918 | Randy Bell | Driver | 6113 W Stonepath Garden Dr, Chester, VA 23831-3730 | 2020-09-22 |
| 1700498300 | Lisa Foster | Driver | 9562 19th Bay St Apt A, Norfolk, VA 23518-6211 | 2020-08-17 |
| 1437769213 | Marvin L Harris | Driver | 29 Ridgewood Pkwy, Newport News, VA 23608-1918 | 2020-08-05 |
| 1003425422 | T'onna Logan Clary | Driver | 18029 Highway Fifty Eight, Boydton, VA 23917-2820 | 2020-07-31 |
| 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.