Active NPI
Omecia Tiggs, CCMA
- Nurse's Aide
- Flint, MI
National Provider Identifier
1114760477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- W2S3K2R7
- Practice address
- 1040 W Bristol Rd
Flint, MI 48507-5516 - Phone
- (810) 257-3705
- NPI assigned
- Jun 14, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | W2S3K2R7 | MI | Primary |
Addresses
Primary practice location
1040 W Bristol Rd
Flint, MI 48507-5516
Mailing address
537 W Mount Morris St Apt 4
Mount Morris, MI 48458-1825
Phone (810) 223-7298
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 |
|---|---|---|---|
| W2S3K2R7 | MI | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718323200000",
"number": "1114760477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "537 W MOUNT MORRIS ST APT 4",
"city": "MOUNT MORRIS",
"state": "MI",
"postal_code": "484581825",
"telephone_number": "810-223-7298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 W BRISTOL RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485075516",
"telephone_number": "810-257-3705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIGGS",
"first_name": "OMECIA",
"credential": "CCMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-14",
"last_updated": "2024-06-14",
"certification_date": "2024-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "MI",
"license": "W2S3K2R7",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.