Active NPI
Tiffany Kuulei Niide, M.D., PH.D.
- Child & Adolescent Psychiatry Physician
- Lynchburg, VA
National Provider Identifier
1154517670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 0101266638
- Practice address
- 2010 Atherholt Rd
Lynchburg, VA 24501-1106 - Phone
- (434) 200-5470
- NPI assigned
- Sep 18, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 0101266638 | VA | Primary |
Addresses
Primary practice location
2010 Atherholt Rd
Lynchburg, VA 24501-1106
Mailing address
2010 Atherholt Rd
Lynchburg, VA 24501-1106
Phone (434) 200-5470
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)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101266638 | VA | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555459200000",
"number": "1154517670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 ATHERHOLT RD",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245011106",
"telephone_number": "434-200-5470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 ATHERHOLT RD",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245011106",
"telephone_number": "434-200-5470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIIDE",
"first_name": "TIFFANY",
"middle_name": "KUULEI",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-18",
"last_updated": "2019-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "VA",
"license": "0101266638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.