Active NPI
Tiffany Milan Russell, D.C.
- Chiropractor
- Waynesboro, PA
National Provider Identifier
1245532944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC010340
- Practice address
- 12080 Skyhawk Dr
Unit B
Waynesboro, PA 17268-8305 - Phone
- (717) 749-7111
- Fax
- (717) 749-7113
- NPI assigned
- Dec 1, 2010
- Last updated
- Jun 17, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC010340 | PA | Primary |
Addresses
Primary practice location
12080 Skyhawk Dr
Unit B
Waynesboro, PA 17268-8305
Mailing address
12080 Skyhawk Dr
Unit B
Waynesboro, PA 17268-8305
Phone (717) 749-7111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120823000412 | PA | Practitioner - Chiropractic | 3870740004 | Practice locations: Waynesboro, PA |
| I20150814013538 | PA | Practitioner - Chiropractic | 3870740004 | Practice locations: Waynesboro, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12080 Skyhawk Dr
Unit B
Waynesboro, PA 17268-8305
12080 Skyhawk Dr B
Waynesboro, PA 17268-8305
Phone (717) 749-7111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC010340 | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Herman Chiropractic Center, Inc. | Chiropractor | Past | Accepting new patients |
| The Chiropractic Edge | Chiropractor | Past | Accepting new patients |
| Kayce Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Waynesboro, PA
- NPI 1386024198
-
- Chiropractor
- Waynesboro, PA
- NPI 1003095597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434499200000",
"number": "1245532944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12080 SKYHAWK DR",
"address_2": "UNIT B",
"city": "WAYNESBORO",
"state": "PA",
"postal_code": "172688305",
"telephone_number": "717-749-7111",
"fax_number": "717-749-7113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12080 SKYHAWK DR",
"address_2": "UNIT B",
"city": "WAYNESBORO",
"state": "PA",
"postal_code": "172688305",
"telephone_number": "717-749-7111",
"fax_number": "717-749-7113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "TIFFANY",
"middle_name": "MILAN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-01",
"last_updated": "2015-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC010340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waynesboro, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.