Active NPI
Tiffany Wilson, CNA
- Nursing Care Agency
- Mobile, AL
National Provider Identifier
1457947509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Practice address
- 4167 Shan Dr E
Mobile, AL 36693-4856 - Phone
- (251) 447-6406
- NPI assigned
- Dec 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | AL | Primary |
Addresses
Primary practice location
4167 Shan Dr E
Mobile, AL 36693-4856
Mailing address
4167 Shan Dr E
Mobile, AL 36693-4856
Phone (251) 447-6406
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Health Information Exchange (HIE) |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tips Love LLC | Nursing Care | Current | Accepting new patients |
Organizations & group practices 1
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": "1607904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1457947509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4167 SHAN DR E",
"city": "MOBILE",
"state": "AL",
"postal_code": "366934856",
"telephone_number": "251-447-6406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4167 SHAN DR E",
"city": "MOBILE",
"state": "AL",
"postal_code": "366934856",
"telephone_number": "251-447-6406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "TIFFANY",
"credential": "CNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-14",
"last_updated": "2022-07-21",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "AL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "whatsapp",
"affiliation": "N",
"endpointDescription": "Whatsapp",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4167 Shan Dr E",
"city": "Mobile",
"state": "AL",
"country_code": "US",
"postal_code": "366934856",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.