Active NPI
Tiffany Nicole Tucker Oldham, CT
- Technician/Technologist
- Sanford, NC
National Provider Identifier
1033870571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician/Technologist
- Practice address
- 110 Fields Dr
Sanford, NC 27330-5066 - Phone
- (919) 777-9005
- NPI assigned
- Jan 6, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | NC | Primary |
Addresses
Primary practice location
110 Fields Dr
Sanford, NC 27330-5066
Mailing address
PO Box 261
Goldston, NC 27252-0261
Phone (919) 935-7485
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Cardiology, PLLC | Current | Accepting new patients | |
| Pinehurst Medical Clinic, Inc. | Past | Accepting new patients |
Locations
110 Fields Dr
Sanford, NC 27330
Phone (919) 774-6320
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medical Specialty Clinic/Center
- Sanford, NC
- NPI 1740237767
-
- Internal Medicine Physician
- Pinehurst, NC
- NPI 1255388369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643068800000",
"number": "1033870571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 261",
"city": "GOLDSTON",
"state": "NC",
"postal_code": "272520261",
"telephone_number": "919-935-7485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 FIELDS DR",
"city": "SANFORD",
"state": "NC",
"postal_code": "273305066",
"telephone_number": "919-777-9005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER OLDHAM",
"first_name": "TIFFANY",
"middle_name": "NICOLE",
"credential": "CT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-06",
"last_updated": "2022-01-25",
"certification_date": "2022-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sanford, NC
- Tranquil Harbor Family Therapy, Jessica Booth, PLLC
- Transcare Transportation
- John Triplett, PHARMD
- Amy Marie Trousdale, LCSW
- Cheyanna Lynn Trujillo, FNP
- Kristy Angell Tucker, PT
- Ultimate Life Counseling, Wellness & Consulting, LLC
- Unc Physicians Network LLC
- Unc Physicians Network, LLC
- Unc Physicians Netwrok, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.