Tiffany Haan, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146010251 Issued in IL

Practice address

400 N Morrow St
Pontiac, IL 61764-1496

Phone

(815) 844-3687

NPI assigned

Apr 30, 2015

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

Other names 1

• Tiffany Trost Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1124405006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 N CHEROKEE LN",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617641548",
            "telephone_number": "815-474-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N MORROW ST",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617641496",
            "telephone_number": "815-844-3687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 E Washington St",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "IL",
            "postal_code": "617642011",
            "country_code": "US",
            "telephone_number": "815-844-6131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAAN",
        "first_name": "TIFFANY",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146010251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "TROST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Michael Grampp, MSPT
• Leslie Mary Grampp, CDS
• Alexa Noelle Grant
• Gregorio Manabat, MD Marissa Batayola, MD SC
• Jakob Grieff
• Patricia Haberkorn, R.N.
• Carrie Hamilton, LCSW
• William Earl Hammond, D.C.
• Danielle Harcourt
• Allison Hart, MA

• Speech-Language Pathologist in Pontiac, IL
• Providers in Pontiac, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.