Tiffany Chere Stacy, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HA7704 Issued in CA

Practice address

30250 Rancho Viejo Rd Ste a
San Juan Capistrano, CA 92675-1555

Phone

(949) 489-0668

Fax

(949) 489-1475

NPI assigned

Jan 11, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Connect Hearing Inc

  • Hearing Aid Equipment
  • Aurora, IL
  • NPI 1265700942

  Hearing Instrument Specialist

  NPD
• Connect Hearing, Inc.

  • Hearing Aid Equipment
  • Upland, CA
  • NPI 1295088136

  Hearing Instrument Specialist

  NPD (past)

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1669742391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SHUMAN BLVD STE 401",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638123",
            "telephone_number": "630-303-5380",
            "fax_number": "630-303-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30250 RANCHO VIEJO RD STE A",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751555",
            "telephone_number": "949-489-0668",
            "fax_number": "949-489-1475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41789 Nicole Ln Ste B2",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925913871",
            "country_code": "US",
            "telephone_number": "951-699-0111",
            "fax_number": "951-699-0444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 4th Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919104429",
            "country_code": "US",
            "telephone_number": "619-420-2151",
            "fax_number": "619-420-2151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "561 N Mountain Ave",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917865016",
            "country_code": "US",
            "telephone_number": "909-931-1069",
            "fax_number": "909-931-1071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STACY",
        "first_name": "TIFFANY",
        "middle_name": "CHERE",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-11",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA7704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• St Cyril Inc (Camino Capistrano Pharmacy)
• Bradford J. Staph, DDS
• Steven Stappaerts, MD
• Dianna Stark, LCSW
• Caroline Sue Statzula, RN
• Theresa Ann Steiner, MFTI

• Hearing Instrument Specialist in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Hearing Instrument Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.