Tiffani Diane Douglas Miksch, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN171041 Issued in AZ

Practice address

44150 W Maricopa Casa Grande Hwy
Maricopa, AZ 85138-5900

Phone

(520) 568-5100

Fax

(520) 568-5110

NPI assigned

Nov 21, 2011

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maricopa Unified School District

  • Local Education Agency (LEA)
  • Maricopa, AZ
  • NPI 1043331275
  NPD (past)
• Maricopa Unified School District

  • Local Education Agency (LEA)
  • Maricopa, AZ
  • NPI 1184013310
  NPD (past)

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1679840508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19365 N SANDALWOOD DR",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851383006",
            "telephone_number": "520-709-9498",
            "fax_number": "520-568-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44150 W MARICOPA CASA GRANDE HWY",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851385900",
            "telephone_number": "520-568-5100",
            "fax_number": "520-568-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS MIKSCH",
        "first_name": "TIFFANI",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-21",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN171041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Duance C. Clouse DDS PC
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• Registered Nurse in Maricopa, AZ
• Providers in Maricopa, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.