Tiffany Douarnymey, MA

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3601 Minnesota Dr Ste 575
Edina, MN 55435-5213

Phone

(612) 223-8898

NPI assigned

Oct 21, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Nystrom & Associates, LTD

  • Clinical Social Worker
  • New Brighton, MN
  • NPI 1396750188
  NPD (past)

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1336866219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3244 W 76TH ST APT 3244",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355204",
            "telephone_number": "612-916-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 MINNESOTA DR STE 575",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355213",
            "telephone_number": "612-223-8898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13100 Wayzata Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553051810",
            "country_code": "US",
            "telephone_number": "952-206-2040",
            "fax_number": "952-206-2041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUARNYMEY",
        "first_name": "TIFFANY",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-21",
        "last_updated": "2023-10-20",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista M Doolittle
• Sarah Dorion
• Walter Hollifield Dorman, M.D.
• Elizabeth Anne Doro, CNM
• Lilah Pauline Doster
• Double Healix Consulting & Psychological Services
• Debra Douglas
• Evan Douglas, DNP
• Richard Douglass, PHD
• Natalie A Dousette, D.C.

• Behavior Technician in Edina, MN
• Providers in Edina, MN by specialty
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.