Tiffany Thompson

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

377465 Issued in OH

Practice address

1256 Robert Dickey Pkwy
Kettering, OH 45409-2119

Phone

(937) 694-6156

NPI assigned

Oct 25, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1603584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1053910513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1256 ROBERT DICKEY PKWY",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454092119",
            "telephone_number": "937-694-6156",
            "fax_number": "937-522-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 ROBERT DICKEY PKWY",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454092119",
            "telephone_number": "937-694-6156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3634 Watertower Ln Ste 1",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454494000",
            "country_code": "US",
            "telephone_number": "937-694-6156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-25",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "OH",
            "license": "377465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Lyn Thomas
• Patrick Leon Thomas Jr., DNP
• Jennifer Lynn Thompson, DDS
• Marjory Thompson, PCC-S
• Nicole Thompson
• Gerald Paul Thornberry Jr., PA-C
• John Edward Thorp, RN
• Meredith Leigh Threatt, M.S.ED, PC
• J Michael Thuney, MD
• David L Tibbits, M.D.

• Administrator Registered Nurse in Kettering, OH
• Providers in Kettering, OH by specialty
• Administrator Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.