Tiffany T Blake

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

1020 Parkside CMNS
Greensboro, GA 30642-4532

Phone

(478) 501-9342

NPI assigned

Nov 29, 2023

Last updated

Nov 29, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1336915487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 PARKSIDE CMNS",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306424532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 PARKSIDE CMNS",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306424532",
            "telephone_number": "478-501-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "TIFFANY",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Bennett Bartolomei, MS, RDN
• Hannah M Baynes
• Annette Jackson Benneche, LPC, M.S., M.ED.
• Benzer Pharmacy Ga1 LLC (The Pharmacy at Lake Oconee)
• Timothy Eric Blackwell, PTA
• Liz Hunter Brack, RN
• David Christopher Bradley, D.M.D.
• Patti June Bradley, D.M.D
• George Rigo Brahn, M.D.
• Robert Horton Brookman, D.O.

• Home Health Aide in Greensboro, GA
• Providers in Greensboro, GA by specialty
• Home Health Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.