Tiffany Rae Kinsley

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

P48211 Issued in IA

Practice address

1750 W Broadway
Council Bluffs, IA 51501-3814

Phone

(712) 215-6588

NPI assigned

Mar 4, 2025

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Locations

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.

• CRC Recovery, Inc.

  dba Council Bluffs Comprehensive Treatment Center

  • Methadone Clinic
  • Council Bluffs, IA
  • NPI 1326689076
  NPD

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1598563900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 E VALLEY ST",
            "city": "RED OAK",
            "state": "IA",
            "postal_code": "515661835",
            "telephone_number": "712-612-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 W BROADWAY",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515013814",
            "telephone_number": "712-215-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSLEY",
        "first_name": "TIFFANY",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IA",
            "license": "P48211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kindred
• Demianna King, H.I.S.
• Jonathan Kingsley, OD
• Mark Gregory Kinnaman, CADC
• Margaret E Kinney, APRN
• Rose Ellen Kirkpatrick, NCC, PLMHP, TLMHC
• Daniel C. Kjeldgaard, DC
• Klemke Medical, Inc
• Deborah Jo Klinkerman, PHARMD, RPH
• Melissa Kay Klutts, ARNP

• Licensed Practical Nurse in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Licensed Practical Nurse in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.