Tiffany Lynn Townsel, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

043112536 Issued in IL

Practice address

120 W 26TH St
South Chicago Heights, IL 60411-4141

Phone

(708) 756-5200

Fax

(708) 756-1136

NPI assigned

Oct 6, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1043972250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 26TH ST",
            "city": "SOUTH CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604114141",
            "telephone_number": "708-756-5200",
            "fax_number": "708-756-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W 26TH ST",
            "city": "SOUTH CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604114141",
            "telephone_number": "708-756-5200",
            "fax_number": "708-756-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNSEL",
        "first_name": "TIFFANY",
        "middle_name": "LYNN",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "043112536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tpolk@briahs.com",
            "affiliation": "N",
            "endpointDescription": "Bria of Chicago Heights",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "120 W 26th St",
            "city": "South Chicago Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604114141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie Allison Small-Behlke, LCPC
• Andrea Smith-Barnes
• Tomiko L Smith
• Jalai Swope
• Crystal Throne, PHARMD
• Village of South Chicago Heights
• Matthew James Wagner, PHARMD
• Walgreen Co (Walgreens #5086)
• Mahir Zegar, PHARMD

• Licensed Practical Nurse in South Chicago Heights, IL
• Providers in South Chicago Heights, IL by specialty
• Licensed Practical Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.