Tiffany Shena Thomas-Douglas

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1330 Arnold Dr Ste 142
Martinez, CA 94553-6538

Phone

(925) 665-5210

NPI assigned

Jun 3, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1748908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1376437608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 ARNOLD DR STE 142",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945536538",
            "telephone_number": "925-405-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 ARNOLD DR STE 142",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945536538",
            "telephone_number": "925-665-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS-DOUGLAS",
        "first_name": "TIFFANY",
        "middle_name": "SHENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Telintelo Jr.
• Bopha Tep
• Laurie Ann Terranova, R.N.
• Linda Ann Terry, M.F.T.
• Thekkek Health Services Inc.
• Naima B Thomas, PHYSICIAN ASSISTANT
• Aisha Shani Thompkins, MSW
• Angela Deniece Thompson
• Thrifty Payless Inc
• Phuong Gia Tiet, BS

• Peer Specialist in Martinez, CA
• Providers in Martinez, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.