Tiffany Floyd, MS, CTRS, CDP

Primary specialty

Recreation TherapistTaxonomy code 225800000X

License

41864 Issued in LA

Practice address

1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116

Phone

(601) 882-2877

NPI assigned

Jul 6, 2020

Last updated

Jul 6, 2020By the provider in NPPES

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

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": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1154948222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 612",
            "city": "PINE GROVE",
            "state": "LA",
            "postal_code": "704530612",
            "telephone_number": "225-341-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E WOODROW WILSON AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165116",
            "telephone_number": "601-882-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "TIFFANY",
        "credential": "MS, CTRS, CDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "LA",
            "license": "41864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flowood River Oaks Hma Medical Group, LLC (River Oaks Hospital Physicians)
• Flowood River Oaks Hma Medical Group, LLC (Neck and Head Surgical Group)
• Jamie Cummings Floyd, M.D.
• John David Floyd, M.D.
• Lakeisha Yvette Floyd
• James D Fly, M.D.
• Matthew Edward Flynn, FNP, ACNP
• Joel Ray Flynt, M.D.
• Bridget Foley, NNP
• Michael Folkes

• Recreation Therapist in Jackson, MS
• Providers in Jackson, MS by specialty
• Recreation Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.