Tiffaney Elizabeth Burg, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

896615 Issued in TX

Practice address

871 Manchester Ave
Prosper, TX 75078-1456

Phone

(972) 835-1981

NPI assigned

Apr 15, 2024

Last updated

Apr 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1235983529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 MANCHESTER AVE",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750781456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 MANCHESTER AVE",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750781456",
            "telephone_number": "972-835-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURG",
        "first_name": "TIFFANEY",
        "middle_name": "ELIZABETH",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "896615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makaily Elizabeth Buckhaulter
• Built 4 It Athletics LLC
• Craig S Bunck, LPC
• Kylie Marie Bunner, NP-C
• Pamela Garza Burg, MD
• Kyra Ioanna Burris
• Jameela Yasmin Burton
• Joanna Bushnell
• Kristy Ruthann Bybee, DO
• Giovanni Eliseo Gianpietro Calarco

• Registered Nurse in Prosper, TX
• Providers in Prosper, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.