Individual provider Active NPI

Tiffany A Malcolm, RN, CD

  • Doula
  • Rosenberg, TX
National Provider Identifier
1346049129
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
1802 Boulder Lake CT
Rosenberg, TX 77469-2583
Phone
(773) 272-6331
Fax
(713) 832-0091
NPI assigned
Mar 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Perinatal Registered Nurse 163WP1700X 980331 TX
Perinatal Registered Nurse 163WP1700X 041437581 IL
Doula 374J00000X TX Primary

Addresses

Primary practice location

1802 Boulder Lake CT
Rosenberg, TX 77469-2583

Mailing address

1802 Boulder Lake CT
Rosenberg, TX 77469-2583
Phone (773) 272-6331

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
041437581ILMDPerinatal Registered Nurse
980331TXMDPerinatal Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1346049129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 BOULDER LAKE CT",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774692583",
            "telephone_number": "773-272-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 BOULDER LAKE CT",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774692583",
            "telephone_number": "773-272-6331",
            "fax_number": "713-832-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCOLM",
        "first_name": "TIFFANY",
        "middle_name": "A",
        "credential": "RN, CD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP1700X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Perinatal",
            "state": "TX",
            "license": "980331",
            "primary": false
        },
        {
            "code": "163WP1700X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Perinatal",
            "state": "IL",
            "license": "041437581",
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosenberg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.