Active NPI
Tiffany Burkley, RMT, LMT,
- Chiropractor
- Boulder, CO
National Provider Identifier
1174861884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12479
- Practice address
- 2885 Aurora Ave Ste E14
Boulder, CO 80303-2250 - Phone
- (954) 501-3937
- NPI assigned
- Jan 30, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 12479 | CO | Primary |
Addresses
Primary practice location
2885 Aurora Ave Ste E14
Boulder, CO 80303-2250
Mailing address
PO Box 510305
Key Colony Beach, FL 33051-0305
Phone (954) 501-3937
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12479 | CO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359504000000",
"number": "1174861884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 510305",
"city": "KEY COLONY BEACH",
"state": "FL",
"postal_code": "330510305",
"telephone_number": "954-501-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2885 AURORA AVE STE E14",
"city": "BOULDER",
"state": "CO",
"postal_code": "803032250",
"telephone_number": "954-501-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKLEY",
"first_name": "TIFFANY",
"credential": "RMT, LMT,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-30",
"last_updated": "2013-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "12479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.