Active NPI
Tiffeani James
- Behavior Technician
- MC Lean, VA
National Provider Identifier
1215493689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1651 Old Meadow Rd Ste 600
MC Lean, VA 22102-4389 - Phone
- (800) 828-5659
- NPI assigned
- Feb 11, 2019
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | VA | Primary |
Addresses
Primary practice location
1651 Old Meadow Rd Ste 600
MC Lean, VA 22102-4389
Mailing address
11521 Lakewood LN
Fairfax Station, VA 22039-2105
Phone (571) 358-7009
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549843200000",
"number": "1215493689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11521 LAKEWOOD LN",
"city": "FAIRFAX STATION",
"state": "VA",
"postal_code": "220392105",
"telephone_number": "571-358-7009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1651 OLD MEADOW RD STE 600",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221024389",
"telephone_number": "800-828-5659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "TIFFEANI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-11",
"last_updated": "2019-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in MC Lean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.