Tiffany Tapp, LICENSED PEDORTHIST

Primary specialty

PedorthistTaxonomy code 224L00000X

License

111358 Issued in KY

Practice address

426 N Elm St
Henderson, KY 42420-2932

Phone

(270) 869-9197

Fax

(270) 844-8045

NPI assigned

Mar 10, 2017

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1629519681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4965 STATE ROUTE 56 W",
            "city": "DIXON",
            "state": "KY",
            "postal_code": "424099552",
            "telephone_number": "270-639-7954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 N ELM ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202932",
            "telephone_number": "270-869-9197",
            "fax_number": "270-844-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPP",
        "first_name": "TIFFANY",
        "credential": "LICENSED PEDORTHIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "",
            "desc": "Mastectomy Fitter",
            "state": "KY",
            "license": "CFM03052",
            "primary": false
        },
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "KY",
            "license": "111358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Allen Sutton, ABO,NCLE,LDO
• Tammy Sutton, LCSW
• T & T Drug :Stores Inc
• T & T Drugs
• T. Paul Wilder, M.D.
• Kiersten J Taylor
• Betty Teer
• Michael Jerry Tenery, D.M.D.
• Eula Geralyn Plana Tetangco, M.D.
• Travis Stout Thaler, D.C.

• Pedorthist in Henderson, KY
• Providers in Henderson, KY by specialty
• Pedorthist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.