Tiffany M Bond

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN.180200.MEDS-IV Issued in OH

Practice address

606 Central Ctr
Chillicothe, OH 45601-2248

Phone

(740) 771-3553

NPI assigned

Sep 21, 2022

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

Other identifiers 3

Other names 1

• Tiffany Casas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pinnacle Treatment Centers Oh-II, LLC

  • Methadone Clinic
  • Chillicothe, OH
  • NPI 1720594393
  NPD (past)

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1437872835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 CENTRAL CTR",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012248",
            "telephone_number": "740-771-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 CENTRAL CTR",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012248",
            "telephone_number": "740-771-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOND",
        "first_name": "TIFFANY",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.180200.MEDS-IV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164W00000X",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163WA0400X",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101YA0400X",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "CASAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carolyn R Boldman, LICDC, LPC
• Jason W Bolt, PRS
• Dianne I Bolton
• Aschli Annette Bond
• Kathy Lynn Bond, RN
• Adam Bone, PHARMD
• Christopher James Bonine, APRN
• Hailey L Bonner
• Nana Bonsu, M.D.
• Anna Maria Booher

• Licensed Practical Nurse in Chillicothe, OH
• Providers in Chillicothe, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.