Tiffany Dimera Mpofu, CVRT

Primary specialty

Blind Rehabilitation Specialist/TechnologistTaxonomy code 2255R0406X

License

7047 Issued in MI

Practice address

1 Veterans Dr
Minneapolis, MN 55417-2309

Phone

(612) 725-2000

NPI assigned

Aug 20, 2017

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

Other names 1

• Ms. Tiffany Dimera Spivey Former name

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": "1503187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503187200000",
    "number": "1467978528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2953 SQUIRREL RIDGE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432195502",
            "telephone_number": "269-447-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VETERANS DR",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554172309",
            "telephone_number": "612-725-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MPOFU",
        "first_name": "TIFFANY",
        "middle_name": "DIMERA",
        "name_prefix": "Mrs.",
        "credential": "CVRT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-20",
        "last_updated": "2017-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255R0406X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Rehabilitation, Blind",
            "state": "MI",
            "license": "7047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "SPIVEY",
            "middle_name": "DIMERA",
            "prefix": "MS.",
            "credential": "CVRT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Darlene Susan Moy, PT
• Paula Moy, OD
• Erin Mae Moyer, RN
• Lisbeth Ann Moyer, RPH
• Jacob Mozer, PHARMD
• John P Mrachek, M.D.
• Lauren Klein Mrachek, MD
• Naomi R Mraz, MD
• Danielle Mrkvicka, NP
• Travis Mrkvicka, M.D.

• Blind Rehabilitation Specialist/Technologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Blind Rehabilitation Specialist/Technologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2017; 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.