Individual provider Active NPI

Tiffany Lee Berkshire, DO

  • Pediatrics Physician
  • Miami, FL
National Provider Identifier
1447299300
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
OS7645 Issued in FL
Practice address
2344 NW 7TH St
Miami, FL 33125-3249
Phone
(305) 945-7745
Fax
(305) 945-7740
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS7645 FL
Pediatrics Physician 208000000X OS7645 FL Primary

Addresses

Primary practice location

2344 NW 7TH St
Miami, FL 33125-3249

Mailing address

14771 Biscayne Blvd
North Miami, FL 33181-1217
Phone (305) 945-7745

Other identifiers 1

IdentifierTypeStateIssuer
257318100MedicaidFL

Other names 1

  • Tiffany Berkshire Frazer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Inphynet Contracting Services LLC Past Accepting new patients
Mochi Medical Ca PC Past Accepting new patients
Guardian Health Center, PA PastSince Jul 1, 2001 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tiffany.berkshire.1@14931.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1447299300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14771 BISCAYNE BLVD",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331811217",
            "telephone_number": "305-945-7745",
            "fax_number": "305-945-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2344 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253249",
            "telephone_number": "305-945-7745",
            "fax_number": "305-945-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKSHIRE",
        "first_name": "TIFFANY",
        "middle_name": "LEE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS7645",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "OS7645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257318100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "FRAZER",
            "middle_name": "BERKSHIRE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.