Individual provider Active NPI

Rachel Dee Tiziani, LMSW

  • Social Worker
  • Marquette, MI
National Provider Identifier
1508416801
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801096588 Issued in MI
Practice address
1229 W Washington St Ste 5
Marquette, MI 49855-3186
Phone
(906) 273-1121
Fax
(906) 225-6706
NPI assigned
Sep 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801096588 MI Primary

Addresses

Primary practice location

1229 W Washington St Ste 5
Marquette, MI 49855-3186

Mailing address

1229 W Washington St Ste 5
Marquette, MI 49855-3186
Phone (906) 273-1121

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address officemgr@fbsmi.com

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801096588MIMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1508416801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 W WASHINGTON ST STE 5",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553186",
            "telephone_number": "906-273-1121",
            "fax_number": "906-225-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 W WASHINGTON ST STE 5",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553186",
            "telephone_number": "906-273-1121",
            "fax_number": "906-225-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIZIANI",
        "first_name": "RACHEL",
        "middle_name": "DEE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801096588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "officemgr@fbsmi.com",
            "affiliation": "N",
            "address_1": "1229 W Washington St Ste 5",
            "city": "Marquette",
            "state": "MI",
            "country_code": "US",
            "postal_code": "498553186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.