Tiffany Obene

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP-2852 Issued in NV

Practice address

11500 S Eastern Ave Ste 150
Henderson, NV 89052-5576

Phone

(725) 250-5885

NPI assigned

Aug 28, 2020

Last updated

Dec 11, 2023By the provider in NPPES

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

Enrolled in NV

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MBS-Mobileimaging.Com LLC

  dba MBS-Mobile Imaging

  • Multi-Specialty Clinic/Center
  • Henderson, NV
  • NPI 1851168652
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1619580503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 S EASTERN AVE STE 150",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525576",
            "telephone_number": "918-906-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 S EASTERN AVE STE 150",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525576",
            "telephone_number": "725-250-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBENE",
        "first_name": "TIFFANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-2852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oasis Medical Associates Inc
• Oasis Surgery Center L.L.C.
• Joyce M Oates, M.D.
• Amal Kamil Obaid-Schmid, MD
• Oluwakemi Temitayo Obajuwonlo
• Donna Oberlin
• Obhg Nevada PC
• Isioma Lorraine Obiazor
• Kayla Ocampo
• Resurreccion Macapinlac Ocampo, M.D.

• Speech-Language Pathologist in Henderson, NV
• Providers in Henderson, NV by specialty
• Speech-Language Pathologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.