Individual provider Active NPI

Tiffaney Brooke Planert, RN

  • Registered Nurse
  • Fairfield, OH
National Provider Identifier
1386040988
Registry record updated Nov 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN408912 Issued in OH
Practice address
5686 Lake Mead Dr
Fairfield, OH 45014-4416
Phone
(513) 254-4926
NPI assigned
Nov 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN408912 OH Primary

Addresses

Primary practice location

5686 Lake Mead Dr
Fairfield, OH 45014-4416

Mailing address

5686 Lake Mead Dr
Fairfield, OH 45014-4416
Phone (513) 254-4926

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
RN408912OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1415404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415404800000",
    "number": "1386040988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5686 LAKE MEAD DR",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450144416",
            "telephone_number": "513-254-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5686 LAKE MEAD DR",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450144416",
            "telephone_number": "513-254-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLANERT",
        "first_name": "TIFFANEY",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-08",
        "last_updated": "2014-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN408912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2014; 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.