Individual provider Active NPI

Tiffany Geri Brown, RN

  • Registered Nurse
  • Philadelphia, PA
National Provider Identifier
1053647875
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN637421 Issued in PA
Practice address
313 Bainbridge St FL 1
Philadelphia, PA 19147-1542
Phone
(267) 536-9188
NPI assigned
Oct 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN637421 PA Primary

Addresses

Primary practice location

313 Bainbridge St FL 1
Philadelphia, PA 19147-1542

Mailing address

313 Bainbridge St FL 1
Philadelphia, PA 19147-1542
Phone (267) 536-9188

Other names 1

  • Tiffany Geri Taylor Former name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN637421PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Divinity Chronic Care Management Current Accepting new patients
Divinity Staffing, LLC Current Accepting new patients
Divinity Homecare Services LLC Current Accepting new patients

Locations

333 E City Ave
Ste 300
Bala Cynwyd, PA 19004
Phone (610) 660-7739

313 Bainbridge St
Fl 1
Philadelphia, PA 19147
Phone (267) 348-4248

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1053647875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 BAINBRIDGE ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471542",
            "telephone_number": "267-536-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 BAINBRIDGE ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471542",
            "telephone_number": "267-536-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TIFFANY",
        "middle_name": "GERI",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-29",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN637421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "TAYLOR",
            "middle_name": "GERI",
            "credential": "LPN, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.

Verify at the official NPI Registry.