Tiffany Mirie Chang

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0506544 Issued in NV

Practice address

4280 Tyndall Ave
Las Vegas, NV 89191-6056

Phone

(201) 783-0546

NPI assigned

Aug 25, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1467065987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8104 SILK BARGAIN ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891313939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 TYNDALL AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891916056",
            "telephone_number": "201-783-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "TIFFANY",
        "middle_name": "MIRIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NV",
            "license": "0506544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skylerr Chang
• So Jung Chang, PA
• Susan Ann Chang
• Sylvia Chang, PSYD
• Thomas Chang, MD
• Tony Chang
• Tricia Asuka Chang, OTD, OTR/L
• Troy Hajin Chang, O.D.
• Valerie Li-Jiun Chang, PA-C
• Willis Chang, M.D.

• Athletic Trainer in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Athletic Trainer in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.