Tiffany Marie Pendarvis, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

0000074742 Issued in TN

Practice address

6000 Ramsey Way
Dickson, TN 37055-2198

Phone

(615) 446-3937

NPI assigned

May 14, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tiffany Marie Tummins Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1184114282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1091 RANEY HILL RD",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370555259",
            "telephone_number": "615-202-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 RAMSEY WAY",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552198",
            "telephone_number": "615-446-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDARVIS",
        "first_name": "TIFFANY",
        "middle_name": "MARIE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "0000074742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "TUMMINS",
            "middle_name": "MARIE",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ramesh Pavuluri, D.PM
• Vijay Pavuluri, D.P.M
• Keith Payton
• William Peach
• Annmarie Pederson, DMD
• Savannah Pendergrass, DPT
• Richard Penfield
• Ross Pennington
• Jenna Peplinski, DO
• Syretta Perkins, FNP

• Licensed Practical Nurse in Dickson, TN
• Providers in Dickson, TN by specialty
• Licensed Practical Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; 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.