Active NPI
Tiffany Powell, H.IS
- Specialist
- Memphis, TN
National Provider Identifier
1013481597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 749
- Practice address
- 4515 Poplar Ave Ste 108-B
Memphis, TN 38117-7503 - Phone
- (901) 767-3045
- Fax
- (901) 767-3046
- NPI assigned
- Jan 17, 2019
- Last updated
- Jul 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 598 | MS | |
| Specialist | 174400000X | 749 | TN | Primary |
Addresses
Primary practice location
4515 Poplar Ave Ste 108-B
Memphis, TN 38117-7503
Mailing address
679 S Mendenhall Rd
Memphis, TN 38117-5212
Phone (901) 767-3045
Other practice location 1
679 S Mendenhall Rd
Memphis, TN 38117-5212
Phone (901) 767-3045
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 598 | MS | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bell Hearing AIDS | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1013481597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "679 S MENDENHALL RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381175212",
"telephone_number": "901-767-3045",
"fax_number": "901-767-3046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4515 POPLAR AVE STE 108-B",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381177503",
"telephone_number": "901-767-3045",
"fax_number": "901-767-3046"
}
],
"practiceLocations": [
{
"address_1": "679 S Mendenhall Rd",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381175212",
"country_code": "US",
"telephone_number": "901-767-3045",
"fax_number": "901-767-3046",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POWELL",
"first_name": "TIFFANY",
"credential": "H.IS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-17",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MS",
"license": "598",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.