Tiffaney Anne Two Eagle, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R29206 Issued in ND

Practice address

3883 74TH Avenue Northeast
Fort Totten, ND 58335

Phone

(701) 766-1600

Fax

(701) 766-1630

NPI assigned

Jun 29, 2017

Last updated

Jun 29, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498694400000",
    "number": "1235650250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "FORT TOTTEN",
            "state": "ND",
            "postal_code": "583350309",
            "telephone_number": "701-766-1609",
            "fax_number": "701-766-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3883 74TH AVENUE NORTHEAST",
            "city": "FORT TOTTEN",
            "state": "ND",
            "postal_code": "58335",
            "telephone_number": "701-766-1600",
            "fax_number": "701-766-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWO EAGLE",
        "first_name": "TIFFANEY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2017-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ND",
            "license": "R29206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Storbakken
• Jennifer Kay Stubson, PHARMD
• Adrian Thomas
• Tana Nicole Triepke, PHARM.D.
• Jessica Tweeton, RN
• Tracy Vilandre, RN
• Carlos M Wadsworth
• Patricia Denise White
• Sharon Elizabeth Whitmer, RN-CDE
• Andrew Joseph Wohlers, PHARM D

• Registered Nurse in Fort Totten, ND
• Providers in Fort Totten, ND by specialty
• Registered Nurse in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.