Tiffany Shadrick, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0008789 Issued in CO

Practice address

701 E Hampden Ave Ste 300
Englewood, CO 80113-2736

Phone

(303) 740-8200

Fax

(303) 740-5900

NPI assigned

Jul 31, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rocky Mountain Cancer Centers LLPGroup PAC ID 7012820533, 131 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tiffany.shadrick@rmcc.ikm.direct-ci.com

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.

• Rocky Mountain Cancer Centers LLP

  • Hematology & Oncology Physician
  • Greenwood Village, CO
  • NPI 1518941186

  Physician Assistant

  Medicare reassignment Care Compare group NPD (past)
• Rocky Mountain Cancer Centers, LLP

  • Hematology & Oncology Physician
  • Longmont, CO
  • NPI 1538762760
  NPD

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1609605245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7951 E MAPLEWOOD AVE STE 350",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114758",
            "telephone_number": "303-930-7895",
            "fax_number": "832-601-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E HAMPDEN AVE STE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132736",
            "telephone_number": "303-740-8200",
            "fax_number": "303-740-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Highway Ab",
            "address_purpose": "LOCATION",
            "city": "Saint Clair",
            "state": "MO",
            "postal_code": "630773008",
            "country_code": "US",
            "telephone_number": "314-393-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHADRICK",
        "first_name": "TIFFANY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0008789",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seventh Wave World Inc.
• Joseph G Sever, MD
• Ethan Sewell, MD
• Sexton & Aragon PC
• James David Sexton, DDS,MS
• Yephunah Shafeeq, PHARMD
• Habiba Shaheed, DMD
• Ali Shahzad, DO
• Makayla J Shaklee, LPC
• Christopher Louis Shank, D.M.D

• Physician Assistant in Englewood, CO
• Providers in Englewood, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.