Tiffany Medeiros, RN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

RN9292989 Issued in FL

Practice address

6591 SE 11TH Loop
Ocala, FL 34472-7810

Phone

(352) 318-3789

NPI assigned

Sep 2, 2016

Last updated

Sep 2, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1447707765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6591 SE 11TH LOOP",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344727810",
            "telephone_number": "352-318-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6591 SE 11TH LOOP",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344727810",
            "telephone_number": "352-318-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDEIROS",
        "first_name": "TIFFANY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-02",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "FL",
            "license": "RN9292989",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "FL",
            "license": "RN9292989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Med-Plus Healthcare LLC
• Guirlene Bastien Medard, APRN
• Medcare Telehealth Inc
• Medcare Transportation, Corp
• Roland R Medeiros, R.PH
• Medero Medical of Lake, LLC (Medero Medical Lake)
• Medero Medical of Marion, LLC (Medero Medical Marion)
• Medero Medical of Orange South, LLC (Medero Medical Orange South)
• Medero Medical of Orange, LLC (Medero Medical Orange)
• Medero Medical of Tampa East, LLC (Medero Medical Tampa East)

• Pediatric Registered Nurse in Ocala, FL
• Providers in Ocala, FL by specialty
• Pediatric Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.