Kesta Tifft

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

LE-00026839 Issued in OH

Practice address

1625 Delco Park Dr
Dayton, OH 45420-1391

Phone

(937) 535-2200

NPI assigned

Jan 4, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1013480854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 FARNSWORTH DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454492129",
            "telephone_number": "937-829-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 DELCO PARK DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454201391",
            "telephone_number": "937-535-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIFFT",
        "first_name": "KESTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.332552",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "LE-00026839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie R Tiderington, P.A-C
• Alissa Tidwell
• Christopher W Tidwell, D.O.
• Diane Tidwell
• Stephany Tidwell
• Tigyer Spine Center, LLC
• Lance M. Tigyer, D. O.
• Cathy Tilford
• Ronna Sue Tilley, LPN
• Sara Tilley

• Family Nurse Practitioner in Dayton, OH
• Providers in Dayton, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.