Tatichia Haliburton, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5171716 Issued in FL

Practice address

1051 Center Stone LN
Riviera Beach, FL 33404-1825

Phone

(561) 370-8622

NPI assigned

Apr 10, 2024

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• TMH Restorative Care Inc

  • Home Health Agency
  • West Palm Beach, FL
  • NPI 1083442818
  NPD Authorized official
• Angels on Call Healthcare Solutions Inc

  • Nursing Care Agency
  • West Palm Beach, FL
  • NPI 1588595706
  NPD

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1407609266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 CENTER STONE LN",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334041825",
            "telephone_number": "561-370-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 CENTER STONE LN",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334041825",
            "telephone_number": "561-370-8622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 S Australian Ave Ste 600",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334016237",
            "country_code": "US",
            "telephone_number": "561-370-8622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALIBURTON",
        "first_name": "TATICHIA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5171716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Haar
• Michael Albert Haas Sr., RN
• Stephanie Grace Haffield, LCSW
• Cindy Hage, PHARMD
• Sameria L Haliburton
• Ava-Dawn Hall
• Stephanie A Hampton, MSW
• Louis A Haneef, LMHC
• Cynthia Harmon
• Harp Diagnostics LLC

• Licensed Practical Nurse in Riviera Beach, FL
• Providers in Riviera Beach, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.