Organization Active NPI

Tiffany L Byrkit Pac LLC

  • Clinic/Center
  • Kearney, NE
National Provider Identifier
1164201182
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
TIFFANY L BYRKIT PAC LLC
Practice address
803 17TH Ave
Kearney, NE 68845-4204
Phone
(308) 440-7807
NPI assigned
Sep 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tiffany Byrkit PA-C, PA
Title
Owner
Phone
(308) 440-7807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

803 17TH Ave
Kearney, NE 68845-4204

Mailing address

803 17TH Ave
Kearney, NE 68845-4204

National Provider Directory

National Provider Directory

Locations

3810 A Ave
Ste E
Kearney, NE 68847
Phone (308) 234-5978

NPI Registry JSON

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1164201182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 17TH AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688454204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 17TH AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688454204",
            "telephone_number": "308-440-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY L BYRKIT PAC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "PA-C",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "BYRKIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-440-7807",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.