Active NPI
Tiffany Rae Morales, CPNP
- Nurse Practitioner
- Boardman, OH
National Provider Identifier
1629419718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- COA.14856-NP
- Practice address
- 8423 Market St Ste 300
Boardman, OH 44512-6778 - Phone
- (330) 543-8885
- Fax
- (330) 543-8890
- NPI assigned
- Jul 17, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | COA.14856-NP | OH | Primary |
Addresses
Primary practice location
8423 Market St Ste 300
Boardman, OH 44512-6778
Mailing address
1 Perkins SQ
Akron, OH 44308-1063
Phone (330) 543-8885
Other names 1
- Tiffany Rae Robenolt
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tmorales10284@direct.chmca.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.14856-NP | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Akron Children'S Hospital | Current | Accepting new patients | |
| Children'S Hospital Medical Center of Akron | Current | Accepting new patients | |
| Children'S Hospital Medical Center of Akron | Current | Accepting new patients | |
| Children'S Hospital Medical Center of Akron | Current | Accepting new patients |
Locations
1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050
8423 Market St
Ste 300
Youngstown, OH 44512
Phone (330) 543-8885
6505 Market St
Bldg A
Youngstown, OH 44512
Phone (330) 651-1789
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Akron, OH
- NPI 1841328853
-
- Children's Hospital
- Akron, OH
- NPI 1942465752
-
- Anesthesiology Physician
- Boardman, OH
- NPI 1417257601
-
- Home Infusion Agency
- Akron, OH
- NPI 1649485848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617926400000",
"number": "1629419718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PERKINS SQ",
"city": "AKRON",
"state": "OH",
"postal_code": "443081063",
"telephone_number": "330-543-8885",
"fax_number": "330-543-8890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8423 MARKET ST STE 300",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445126778",
"telephone_number": "330-543-8885",
"fax_number": "330-543-8890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALES",
"first_name": "TIFFANY",
"middle_name": "RAE",
"name_prefix": "Mrs.",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-17",
"last_updated": "2021-04-09",
"certification_date": "2021-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "COA.14856-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tmorales10284@direct.chmca.org",
"affiliation": "N",
"address_1": "8423 Market St Ste 300",
"city": "Boardman",
"state": "OH",
"country_code": "US",
"postal_code": "445126778",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "TIFFANY",
"last_name": "ROBENOLT",
"middle_name": "RAE",
"credential": "CNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Boardman, OH
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.