Individual provider Active NPI

Tiffany Sue Moore

  • Lay Midwife
  • McConnelsville, OH
National Provider Identifier
1518136704
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lay MidwifeTaxonomy code 175M00000X
License
RU599210 Issued in OH
Practice address
1165 N Kennebec Ave
McConnelsville, OH 43756-1016
Phone
(740) 507-2598
NPI assigned
Feb 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lay Midwife 175M00000X RU599210 OH Primary

Addresses

Primary practice location

1165 N Kennebec Ave
McConnelsville, OH 43756-1016

Mailing address

1165 N Kennebec Ave
McConnelsville, OH 43756-1016
Phone (740) 507-2598

Other names 1

  • Mrs. Tiffany Farrell Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RU599210OHMDLay Midwife

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1518136704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 N KENNEBEC AVE",
            "city": "MCCONNELSVILLE",
            "state": "OH",
            "postal_code": "437561016",
            "telephone_number": "740-507-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 N KENNEBEC AVE",
            "city": "MCCONNELSVILLE",
            "state": "OH",
            "postal_code": "437561016",
            "telephone_number": "740-507-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TIFFANY",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175M00000X",
            "taxonomy_group": "",
            "desc": "Midwife, Lay",
            "state": "OH",
            "license": "RU599210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "FARRELL",
            "prefix": "MRS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in McConnelsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.