Tiffany Pence

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Practice address

11311 Quailbridge Cir
Hagerstown, MD 21742-8180

Phone

(240) 434-1241

NPI assigned

Jul 18, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694822400000",
    "number": "1508546235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11311 QUAILBRIDGE CIR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217428180",
            "telephone_number": "240-434-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11311 QUAILBRIDGE CIR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217428180",
            "telephone_number": "240-434-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENCE",
        "first_name": "TIFFANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-09-16",
        "certification_date": "2023-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatrix Medical Group of the Mid-Atlantic PC
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• Jennifer Peifer, LCSWC
• Martha Ann Pendleton-Riggle, MD
• Penn Mar Anesthesia, LLC
• Alexandra Maria Pentikis
• Sarah Pentz, FNP-C
• Julia Elizabeth Pepper, PHARMD

• Case Management Agency in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Case Management Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2023; 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.