Individual provider Active NPI

Tiffany Burkley, RMT, LMT,

  • Chiropractor
  • Boulder, CO
National Provider Identifier
1174861884
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12479 Issued in CO
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

Updated by the provider on Jan 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
12479COMDChiropractor

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.

Verify at the official NPI Registry.