Active NPI
Tiffany Logan Jeffries-Fernandez, DC
- Chiropractor
- Virginia Beach, VA
National Provider Identifier
1457586133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 104556510
- Practice address
- 3074 Brickhouse CT
Virginia Beach, VA 23452-6859 - Phone
- (757) 227-4100
- Fax
- (757) 963-9157
- NPI assigned
- May 24, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 104556510 | VA | Primary |
Addresses
Primary practice location
3074 Brickhouse CT
Virginia Beach, VA 23452-6859
Mailing address
3074 Brickhouse CT
Virginia Beach, VA 23452-6859
Phone (757) 227-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104556510 | VA | MD | Chiropractor |
| 010500 | NY | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cpe Medical Systems LLC | Current | Accepting new patients | |
| Theradynamics Physical Therapy Rehabilitation PC | Past | Accepting new patients | |
| Theradynamics Physical Rehab | Past | Accepting new patients |
Locations
3074 Brickhouse Ct
Virginia Beach, VA 23452
Phone (757) 227-4100
Organizations & group practices 4
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.
-
- Chiropractor
- Virginia Beach, VA
- NPI 1235318452
-
- Nephrology Physician
- Virginia Beach, VA
- NPI 1740636539
-
- Exclusive Provider Organization
- Bronx, NY
- NPI 1407022817
-
- Physical Therapist
- Bronx, NY
- NPI 1619132230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1457586133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3074 BRICKHOUSE CT",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234526859",
"telephone_number": "757-227-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3074 BRICKHOUSE CT",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234526859",
"telephone_number": "757-227-4100",
"fax_number": "757-963-9157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFRIES-FERNANDEZ",
"first_name": "TIFFANY",
"middle_name": "LOGAN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-24",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "104556510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.