Active NPI
Tiffani Ross, CMF
- Mastectomy Fitter
- Cornelius, NC
National Provider Identifier
1245615160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mastectomy Fitter
- License
- C50985
- Practice address
- 17436 Midnight Express Way
Cornelius, NC 28031-8180 - Phone
- (330) 207-7099
- NPI assigned
- Jul 21, 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 |
|---|---|---|---|---|
| Mastectomy Fitter | 224900000X | C50985 | NC | Primary |
Addresses
Primary practice location
17436 Midnight Express Way
Cornelius, NC 28031-8180
Mailing address
17436 Midnight Express Way
Cornelius, NC 28031-8180
Phone (330) 207-7099
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C50985 | NC | MD | Mastectomy Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475366400000",
"number": "1245615160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17436 MIDNIGHT EXPRESS WAY",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280318180",
"telephone_number": "330-207-7099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17436 MIDNIGHT EXPRESS WAY",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280318180",
"telephone_number": "330-207-7099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "TIFFANI",
"name_prefix": "Mrs.",
"credential": "CMF",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-21",
"last_updated": "2016-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "224900000X",
"taxonomy_group": "",
"desc": "Mastectomy Fitter",
"state": "NC",
"license": "C50985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cornelius, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.