Tiffany Nicole Kotlarz

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

0735001449 Issued in VA

Practice address

261 North St
Bristol, VA 24201-3275

Phone

(423) 797-8532

NPI assigned

Dec 5, 2025

Sex

Female

Sole proprietor

Yes

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": "1764892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1487517405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 UNIVERSITY BLVD APT B8",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376608462",
            "telephone_number": "423-440-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 NORTH ST",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013275",
            "telephone_number": "423-797-8532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTLARZ",
        "first_name": "TIFFANY",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-05",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": "VA",
            "license": "0735001449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cortney Kinder
• Samantha Joyce Klug
• Debra B Kluttz, LCSW
• Martha Cross Knox, P.T.
• Johnny Clay Koehn
• Kroger Limited Partnership I
• Jill Nicole Lambert
• Pamela K Lane, NP
• Victoria Lane
• Ray Laster

• All providers in Bristol, VA
• Peer Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.