Active NPI
Tiffany M Smith
- Community Health Worker
- Truth Or Consequences, NM
National Provider Identifier
1235839895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 900 Marshall St
Truth Or Consequences, NM 87901-6600 - Phone
- (206) 990-3215
- NPI assigned
- Mar 3, 2023
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
900 Marshall St
Truth Or Consequences, NM 87901-6600
Mailing address
975 W 9TH Ave
Truth Or Consequences, NM 87901-1513
Phone (206) 990-3215
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": "1677801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677801600000",
"number": "1235839895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "975 W 9TH AVE",
"city": "TRUTH OR CONSEQUENCES",
"state": "NM",
"postal_code": "879011513",
"telephone_number": "206-990-3215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 MARSHALL ST",
"city": "TRUTH OR CONSEQUENCES",
"state": "NM",
"postal_code": "879016600",
"telephone_number": "206-990-3215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TIFFANY",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-03",
"last_updated": "2023-03-03",
"certification_date": "2023-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Truth Or Consequences, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.