Tiffany DO, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

114616 Issued in TX

Practice address

19241 David Memorial Dr Ste 170a
Shenandoah, TX 77385-8786

Phone

(936) 321-8300

NPI assigned

Sep 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Cole Health, Inc.

  • Rehabilitation Clinic/Center
  • Houston, TX
  • NPI 1841204898
  NPD (past)

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1295219111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19241 DAVID MEMORIAL DR STE 170A",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858786",
            "telephone_number": "936-321-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19241 DAVID MEMORIAL DR STE 170A",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858786",
            "telephone_number": "936-321-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "TIFFANY",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-17",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "114616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY & AUDIOLOGY",
            "identifier": "114616",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Afton M Dickerson, NP
• Robert James Difilippo, AGACNP
• Digestive Specialists of North Harris County PA
• Nicole Marie Dion Jenson
• Distinctive Physical Therapy and Wellness Center PLLC
• Jamie Respondek Doan, FNP-C
• Kendel Dolen, FNP
• Lindsay Marie Domangue, PA
• Shelby Doyle, LCSW
• Dr. a Family Clinic

• Speech-Language Pathologist in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.