Individual provider Active NPI

Tiffaney Bergeron, RN

  • Ambulatory Care Registered Nurse
  • Metairie, LA
National Provider Identifier
1548840945
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care Registered NurseTaxonomy code 163WP2201X
License
RN085616 Issued in LA
Practice address
3926 Barron St Ste C210
Metairie, LA 70002-5798
Phone
(504) 887-3142
Fax
(504) 887-3145
NPI assigned
Apr 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X RN085616 LA Primary

Addresses

Primary practice location

3926 Barron St Ste C210
Metairie, LA 70002-5798

Mailing address

3926 Barron St Ste C210
Metairie, LA 70002-5798
Phone (504) 887-3142

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL CareCloud

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
RN085616LAMDAmbulatory Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
First Down Healthcare CurrentSince Jan 22, 2023 Accepting new patients

Locations

3926 Barron St
Ste C210
Metairie, LA 70002
Phone (504) 887-3142

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1548840945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3926 BARRON ST STE C210",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025798",
            "telephone_number": "504-887-3142",
            "fax_number": "504-887-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3926 BARRON ST STE C210",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025798",
            "telephone_number": "504-887-3142",
            "fax_number": "504-887-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGERON",
        "first_name": "TIFFANEY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "LA",
            "license": "RN085616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CareCloud",
            "affiliation": "N",
            "address_1": "3926 Barron St Ste C210",
            "city": "Metairie",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700025798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.