NPIMap

Organization Active NPI

Tiffany Douglas

  • Clinic/Center
  • Boston, MA
National Provider Identifier
1629448964
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
RN2299504 Issued in MA
Legal business name
TIFFANY DOUGLAS
Practice address
1 Soldiers Field Park
Apt 501
Boston, MA 02163-1722
Phone
(864) 423-3561
NPI assigned
Sep 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Authorized official

Name
Tiffany Douglas
Title
FNP/ Primary Care Provider
Phone
(864) 423-3561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X RN2299504 MA Primary

Addresses

Primary practice location

1 Soldiers Field Park
Apt 501
Boston, MA 02163-1722

Mailing address

1 Soldiers Field Park
Apt 501
Boston, MA 02163-1722
Phone (864) 423-3561

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1629448964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SOLDIERS FIELD PARK",
            "address_2": "APT 501",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021631722",
            "telephone_number": "864-423-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SOLDIERS FIELD PARK",
            "address_2": "APT 501",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021631722",
            "telephone_number": "864-423-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY DOUGLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "FNP/ PRIMARY CARE PROVIDER",
        "authorized_official_telephone_number": "864-423-3561"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MA",
            "license": "RN2299504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.