NPIMap

Individual provider Active NPI

Tiffani Buckner

  • Home Health Aide
  • Phenix City, AL
National Provider Identifier
1003478363
Registry record updated Jul 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
1330 Ingersoll Dr
Phenix City, AL 36867-6042
Phone
(323) 358-8096
NPI assigned
Jul 7, 2019
Last updated
Jul 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Primary

Addresses

Primary practice location

1330 Ingersoll Dr
Phenix City, AL 36867-6042

Mailing address

614 25TH CT
Phenix City, AL 36869-6448

Electronic endpoints 3

TypeEndpointUseAffiliation
Other URL http://honoredtocare.com/
Other URL http://honoredtocare.com/
Other URL http://honoredtocare.com/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562457600000",
    "number": "1003478363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 25TH CT",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368696448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 INGERSOLL DR",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368676042",
            "telephone_number": "323-358-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKNER",
        "first_name": "TIFFANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-07",
        "last_updated": "2019-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://honoredtocare.com/",
            "affiliation": "N",
            "address_1": "1330 Ingersoll Dr",
            "city": "Phenix City",
            "state": "AL",
            "country_code": "US",
            "postal_code": "368676042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://honoredtocare.com/",
            "affiliation": "N",
            "address_1": "1330 Ingersoll Dr",
            "city": "Phenix City",
            "state": "AL",
            "country_code": "US",
            "postal_code": "368676042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://honoredtocare.com/",
            "affiliation": "N",
            "address_1": "1330 Ingersoll Dr",
            "city": "Phenix City",
            "state": "AL",
            "country_code": "US",
            "postal_code": "368676042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phenix City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.