Tiffney Marie Henderson

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Practice address

401 E 4TH St
Manchester, OH 45144-1412

Phone

(937) 549-4137

NPI assigned

Apr 11, 2007

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346463791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E 4TH ST",
            "city": "MANCHESTER",
            "state": "OH",
            "postal_code": "451441412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E 4TH ST",
            "city": "MANCHESTER",
            "state": "OH",
            "postal_code": "451441412",
            "telephone_number": "937-549-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "TIFFNEY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dinesh Nayak MD Inc.
• Judith Ann Fulton, FNP
• Ruby Vanessa Lee Gilliam, R.N.
• Sandra D. Greenfeather
• Brittney Hale
• Christine Ellen Herrmann
• Kathleen Diane Hill, R.PH.
• Tracey Himes, IP
• Jessica James
• Morgan Leigh Johnson

• All providers in Manchester, OH
• Home Modifications Contractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.