Individual provider Active NPI

Tiffinie Deshae Arzell Thomas, RN

  • Perinatal Registered Nurse
  • Fresno, CA
National Provider Identifier
1316186745
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Perinatal Registered NurseTaxonomy code 163WP1700X
License
722781 Issued in CA
Practice address
3568 W Cortland Ave
Fresno, CA 93722-4731
Phone
(559) 275-5462
Fax
(559) 275-8585
NPI assigned
Feb 9, 2009
Last updated
Feb 9, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 722781 CA
Case Management Registered Nurse 163WC0400X 722781 CA
Community Health Registered Nurse 163WC1500X 722781 CA
General Practice Registered Nurse 163WG0000X 722781 CA
Maternal Newborn Registered Nurse 163WM0102X 722781 CA
Low-Risk Neonatal Registered Nurse 163WN0003X 722781 CA
Pediatric Registered Nurse 163WP0200X 722781 CA
Perinatal Registered Nurse 163WP1700X 722781 CA Primary
Ambulatory Women's Health Care Registered Nurse 163WW0101X 722781 CA
High-Risk Obstetric Registered Nurse 163WX0002X 722781 CA
Inpatient Obstetric Registered Nurse 163WX0003X 722781 CA

Addresses

Primary practice location

3568 W Cortland Ave
Fresno, CA 93722-4731

Mailing address

PO Box 548
Fresno, CA 93709-0548
Phone (559) 275-5468

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
722781CAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234137600000",
    "number": "1316186745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937090548",
            "telephone_number": "559-275-5468",
            "fax_number": "559-275-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3568 W CORTLAND AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937224731",
            "telephone_number": "559-275-5462",
            "fax_number": "559-275-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TIFFINIE",
        "middle_name": "DESHAE ARZELL",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "722781",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "722781",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "722781",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "722781",
            "primary": false
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "CA",
            "license": "722781",
            "primary": false
        },
        {
            "code": "163WN0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal, Low-Risk",
            "state": "CA",
            "license": "722781",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "CA",
            "license": "722781",
            "primary": false
        },
        {
            "code": "163WP1700X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Perinatal",
            "state": "CA",
            "license": "722781",
            "primary": true
        },
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "CA",
            "license": "722781",
            "primary": false
        },
        {
            "code": "163WX0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, High-Risk",
            "state": "CA",
            "license": "722781",
            "primary": false
        },
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "CA",
            "license": "722781",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; 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.