Tiffany CHI-Ling Chan

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1978 Industrial Blvd
Internal Medicine Residency Program Chabert Medical Cen
Houma, LA 70363

Phone

(985) 873-2710

NPI assigned

May 18, 2023

Last updated

Oct 4, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1326739467",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "972 WILLOWDALE AVENUE",
            "city": "TORONTO",
            "state": "ONTARIO",
            "postal_code": "M2M3C5"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1978 INDUSTRIAL BLVD",
            "address_2": "INTERNAL MEDICINE RESIDENCY PROGRAM CHABERT MEDICAL CEN",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "70363",
            "telephone_number": "985-873-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "TIFFANY",
        "middle_name": "CHI-LING",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-10-04",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monisha Chadha, MD
• Anil Kumar Chagarlamudi, MD
• Ronald J Chaisson
• Katherine W Champagne, LCSW
• Thomas P Champagne, CRNA
• Babiswarup Reddy Chandamuri, M.D.
• Channing K Sanders, MD, AMC
• Stephen M Charbonnet, M.D.
• Tamela L Charbonnet, M.D.
• Michael P Charlet, M.D.

• Student in an Organized Health Care Education/Training Program in Houma, LA
• Providers in Houma, LA by specialty
• Student in an Organized Health Care Education/Training Program in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.