Tiffany Kelley Martin

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1200 2ND St
Sacramento, CA 95814-3234

Phone

(646) 575-8200

NPI assigned

Sep 19, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elevated Health and Community

  • Public Health or Welfare Agency
  • Sacramento, CA
  • NPI 1205779212
  NPD Authorized official
• Tkmartin Consulting LLC

  • Community/Behavioral Health Agency
  • Sacramento, CA
  • NPI 1104643287
  NPD Authorized official

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1265269484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 KINSELLA CT",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957479173",
            "telephone_number": "646-575-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 2ND ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958143234",
            "telephone_number": "646-575-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1548 68th Ave",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958224745",
            "country_code": "US",
            "telephone_number": "646-575-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "208 Kinsella Ct",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "957479173",
            "country_code": "US",
            "telephone_number": "646-575-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TIFFANY",
        "middle_name": "KELLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-19",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Martin, MD
• Sanaz Martin, NURSE PRACTITIONER
• Sandra J. Martin, D.P.M.
• Sara Martin
• Shannon Martin
• Tracy Jeannette Martinazzi
• Jeffrey William Martindale, PHARM.D.
• Tarrah Martine
• Ines Martines Copeland
• Marteela Marissa Martinez Almendariz

• Community Health Worker in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.