Individual provider Active NPI

Brandi Tiffany, LMT

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1427206606
Registry record updated Aug 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
14405 Issued in OR
Practice address
1567 SE Tacoma St
Portland, OR 97202-6643
Phone
(503) 488-0081
NPI assigned
Aug 30, 2008
Last updated
Aug 30, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 14405 OR Primary

Addresses

Primary practice location

1567 SE Tacoma St
Portland, OR 97202-6643

Mailing address

8075 SE 8TH Ave
Portland, OR 97202-6565
Phone (503) 488-0081

Other names 1

  • Branda Tiffany Professional name

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

State licenses

LicenseStateTypeSpecialty
14405ORMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1220054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220054400000",
    "number": "1427206606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8075 SE 8TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026565",
            "telephone_number": "503-488-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1567 SE TACOMA ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026643",
            "telephone_number": "503-488-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIFFANY",
        "first_name": "BRANDI",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-30",
        "last_updated": "2008-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "14405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDA",
            "last_name": "TIFFANY",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2008; 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.