Active NPI
Tiffany Renee Skor
- Occupational Therapist
- Bismarck, ND
National Provider Identifier
1073704623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1201
- Practice address
- 300 N 7TH St
Bismarck, ND 58501-4439 - Phone
- (701) 323-6153
- NPI assigned
- Aug 8, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 103480 | MN | |
| Occupational Therapist | 225X00000X | 1201 | ND | Primary |
Addresses
Primary practice location
300 N 7TH St
Bismarck, ND 58501-4439
Mailing address
9400 Cedar LN
Bismarck, ND 58503-6414
Phone (701) 567-3503
Other names 1
- Tiffany Renee Vliem
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1201 | ND | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324252800000",
"number": "1073704623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9400 CEDAR LN",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585036414",
"telephone_number": "701-567-3503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N 7TH ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585014439",
"telephone_number": "701-323-6153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKOR",
"first_name": "TIFFANY",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-08",
"last_updated": "2011-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "103480",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ND",
"license": "1201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TIFFANY",
"last_name": "VLIEM",
"middle_name": "RENEE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.