Individual provider Active NPI

Tiffany Reighard Caldwell, RN, CNOR,RNFA

  • Registered Nurse First Assistant
  • Carrollton, GA
National Provider Identifier
1548485436
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
RN126668 Issued in GA
Practice address
1646 Newnan Rd
Carrollton, GA 30116-6430
Phone
(770) 265-9436
Fax
(770) 834-3883
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X RN126668 GA Primary

Addresses

Primary practice location

1646 Newnan Rd
Carrollton, GA 30116-6430

Mailing address

1646 Newnan Rd
Carrollton, GA 30116-6430
Phone (770) 265-9436

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN126668GAMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548485436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 NEWNAN RD",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301166430",
            "telephone_number": "770-265-9436",
            "fax_number": "770-834-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 NEWNAN RD",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301166430",
            "telephone_number": "770-265-9436",
            "fax_number": "770-834-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "TIFFANY",
        "middle_name": "REIGHARD",
        "name_prefix": "Mrs.",
        "credential": "RN, CNOR,RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "GA",
            "license": "RN126668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.