Tiffany Donnea Kendall

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

212 W 2ND Ave
Suite a
Gastonia, NC 28052-4055

Phone

(704) 854-8399

Fax

(704) 854-8410

NPI assigned

Dec 6, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

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.

• Total Miracle Kids,Inc.

  • Community/Behavioral Health Agency
  • Gastonia, NC
  • NPI 1053505941
  NPD (past) Authorized official

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073672077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W 2ND AVE",
            "address_2": "SUITE A",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524055",
            "telephone_number": "704-854-8399",
            "fax_number": "704-854-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W 2ND AVE",
            "address_2": "SUITE A",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524055",
            "telephone_number": "704-854-8399",
            "fax_number": "704-854-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "TIFFANY",
        "middle_name": "DONNEA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roy William Kelly III, D.D.S.
• Roy William Kelly Jr., DDS
• Aimee Davis Kendall, FNP
• Jayne Kendall, MD
• Theresa Kendall
• Kendrick Counseling & Consultant Agency PLLC
• Deanna M Kendrick, CRNA
• Kimberly Ann Kenely, OTD, OTR/L
• Ashya Kennedy, MED, LPCA, NCC
• Ebony Kyerra Kennedy, PHARMD

• Case Manager/Care Coordinator in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Case Manager/Care Coordinator in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.