Active NPI
Tiffany Warren, LMT
- Massage Therapist
- Warner Robins, GA
National Provider Identifier
1205459641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 00002749
- Practice address
- 2811 Watson Blvd Ste 4
Warner Robins, GA 31093-8593 - Phone
- (478) 971-4110
- NPI assigned
- May 20, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 00002749 | GA | Primary |
Addresses
Primary practice location
2811 Watson Blvd Ste 4
Warner Robins, GA 31093-8593
Mailing address
205 Hilton CT
Warner Robins, GA 31088-8555
Phone (478) 973-7697
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 |
|---|---|---|---|
| 00002749 | GA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589932800000",
"number": "1205459641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 HILTON CT",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310888555",
"telephone_number": "478-973-7697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 WATSON BLVD STE 4",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310938593",
"telephone_number": "478-971-4110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "TIFFANY",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-20",
"last_updated": "2020-05-20",
"certification_date": "2020-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "00002749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.