Tiffany Leigh Schultheis, RN
Individual provider Active NPI Critical Care Medicine Registered Nurse · Fults, IL
NPI 1497072912 · NPPES record last updated Apr 23, 2010
Key facts
- NPI
- 1497072912
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine Registered Nurse 163WC0200X
- License
- 2005008604 (MO)
- Practice address
- 4507 Ashley LN
Fults, IL 62244-1529 - Phone
- (618) 458-7398
- NPI assigned
- Apr 23, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041356623 | IL | MD | Registered Nurse |
| 2005008604 | MO | MD | Critical Care Medicine Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041356623 | IL | |
| Critical Care Medicine Registered Nurse | 163WC0200X | 2005008604 | MO | Yes |
Addresses
Primary practice location
4507 Ashley LN
Fults, IL 62244-1529
Mailing address
4507 Ashley LN
Fults, IL 62244-1529
Phone (618) 458-7398
Other names
- Tiffany Leigh Metz
Other providers in Fults, IL
All providers in Fults, IL · Critical Care Medicine Registered Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.