Tiffanie Kae Oswald, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

17934 Issued in NE

Practice address

1004 W 12TH Rd
Aurora, NE 68818-4314

Phone

(308) 390-9625

NPI assigned

Apr 26, 2011

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 31, 2023.

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1134410012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 W 12TH RD",
            "city": "AURORA",
            "state": "NE",
            "postal_code": "688184314",
            "telephone_number": "308-390-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 W 12TH RD",
            "city": "AURORA",
            "state": "NE",
            "postal_code": "688184314",
            "telephone_number": "308-390-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSWALD",
        "first_name": "TIFFANIE",
        "middle_name": "KAE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-26",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NE",
            "license": "17934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chandra Ruth Phelps, RN
• Leah Pohlmeier
• Whitney Polen, APRN, FNP-C
• Azure Marie Pospisil
• Melissa Dawn Prentice, MS LMHP

• All providers in Aurora, NE
• Licensed Practical Nurse in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.