Individual provider Active NPI

Tiffini Dawn Young, CNM

  • Midwife
  • Grand Junction, CO
National Provider Identifier
1639446339
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
CNM170021 Issued in CO
Practice address
2373 G Rd
Suite 240
Grand Junction, CO 81505-1002
Phone
(970) 263-7908
Fax
(970) 245-0656
NPI assigned
Nov 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X CNM170021 CO Primary

Addresses

Primary practice location

2373 G Rd
Suite 240
Grand Junction, CO 81505-1002

Mailing address

PO Box 1687
Grand Junction, CO 81502-1687
Phone (970) 256-6322

Other names 1

  • Tiffini Dawn Storor/Schabacker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160224001700 CO Practitioner - Certified Nurse Midwife (CNM) 6709181084 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
CNM170021COMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Valley View Hospital Association CurrentSince Sep 1, 2022 Accepting new patients
Community Medical Group, LLC CurrentSince Jan 1, 2018 Accepting new patients
Colorado West Healthcare System CurrentSince Jan 16, 2016 Accepting new patients
Valley View Hospital Association CurrentSince Sep 1, 2022 Accepting new patients
Community Medical Group, LLC Current Accepting new patients
Colorado West Healthcare System CurrentSince Jan 16, 2016 Accepting new patients
Valley View Hospital Association Current Accepting new patients
Community Medical Group, LLC CurrentSince Jan 1, 2018 Accepting new patients
Valley View Hospital Association Past Accepting new patients
Community Medical Group Past Accepting new patients
Community Medical Group, LLC Past Accepting new patients
Community Medical Group, LLC Past Accepting new patients

Locations

1830 Blake Ave
Ste 208
Glenwood Springs, CO 81601
Phone (970) 945-2238

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

688 23 12 Rd Ste 304
Ste 304
Grand Junction, CO 81505

2351 G Rd
Grand Junction, CO 81505
Phone (970) 242-0920

2373 G Rd
Ste 240
Grand Junction, CO 81505
Phone (970) 243-7908

Interoperability endpoints

  • Direct secure messaging: tiffiniyoung@gvpc.allscriptsdirect.net
  • Direct secure messaging: tiffini.young.2@9028.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451520000000",
    "number": "1639446339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1687",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815021687",
            "telephone_number": "970-256-6322",
            "fax_number": "970-263-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 G RD",
            "address_2": "SUITE 240",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051002",
            "telephone_number": "970-263-7908",
            "fax_number": "970-245-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TIFFINI",
        "middle_name": "DAWN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-23",
        "last_updated": "2015-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CO",
            "license": "CNM170021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFINI",
            "last_name": "STOROR/SCHABACKER",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.