Individual provider Active NPI

Tiffani Dawn Tobin, PA

  • Physician Assistant
  • Columbus, OH
National Provider Identifier
1669655387
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.002715 Issued in OH
Practice address
100 E Campus View Blvd Ste 250
Columbus, OH 43235-4682
Phone
(614) 344-7547
Fax
(614) 344-7547
NPI assigned
Dec 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.002715 OH Primary

Addresses

Primary practice location

100 E Campus View Blvd Ste 250
Columbus, OH 43235-4682

Mailing address

100 E Campus View Blvd Ste 250
Columbus, OH 43235-4682
Phone (614) 344-7547

Other identifiers 1

IdentifierTypeStateIssuer
50.002715OtherOHOHIO LIC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@discovertranquility.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2022 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.002715OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tranquility Psychiatry and Counseling Services Current Accepting new patients
Providers for Healthy Living CurrentSince Sep 5, 2023 Accepting new patients
Donald L Freidenberg PastSince Jul 15, 1993 Accepting new patients
Providers for Healthy Living PastSince Feb 1, 2020 Accepting new patients

Locations

100 E Campus View Blvd
Ste 250
Columbus, OH 43235
Phone (267) 817-8902

8351 N High St
Ste 155
Columbus, OH 43235
Phone (614) 664-3595

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.

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1669655387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CAMPUS VIEW BLVD STE 250",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354682",
            "telephone_number": "614-344-7547",
            "fax_number": "614-344-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E CAMPUS VIEW BLVD STE 250",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354682",
            "telephone_number": "614-344-7547",
            "fax_number": "614-344-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIN",
        "first_name": "TIFFANI",
        "middle_name": "DAWN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-17",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.002715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO LIC",
            "identifier": "50.002715",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@discovertranquility.com",
            "affiliation": "N",
            "address_1": "100 E Campus View Blvd Ste 250",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432354682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.