Tiffany M Moore

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

2490 Lee Blvd Ste 103
Cleveland HTS, OH 44118-1255

Phone

(216) 600-5194

NPI assigned

Jul 9, 2018

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Life Solutions South

  • Substance Abuse Rehabilitation Facility
  • Cleveland, OH
  • NPI 1558820498
  NPD (past)
• Life Solutions South

  • Community/Behavioral Health Agency
  • Cleveland, OH
  • NPI 1578962957
  NPD (past)

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1518453067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4468 E 131ST ST",
            "city": "GARFIELD HTS",
            "state": "OH",
            "postal_code": "441056972",
            "telephone_number": "216-217-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 LEE BLVD STE 103",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "441181255",
            "telephone_number": "216-600-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TIFFANY",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marguerite Miller
• Mindfulness-Counseling
• Melissa Ann Miozzi, PT
• Jarreau Diamond Miree, STNA
• Domenic Misiti
• Chaunte Morgan, APRN
• Kelly Ann Morgan, PC
• Blayne Hoerner Murray, MIDWIFE
• Brian Nemunaitis, D.O.
• New Avenues to Indpendence, Inc.

• Community Health Worker in Cleveland HTS, OH
• Providers in Cleveland HTS, OH by specialty
• Community Health Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.