Tiffany N. Fraley

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

57407 Twentynine Palms Highway
Suite F
Yucca Valley, CA 92284

Phone

(760) 366-1541

Fax

(760) 228-1614

NPI assigned

Mar 10, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Tiffany N. Wilburn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1699098285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57407 TWENTYNINE PALMS HIGHWAY",
            "address_2": "SUITE F",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "92284",
            "telephone_number": "760-366-1541",
            "fax_number": "760-228-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57407 TWENTYNINE PALMS HIGHWAY",
            "address_2": "SUITE F",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "92284",
            "telephone_number": "760-366-1541",
            "fax_number": "760-228-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRALEY",
        "first_name": "TIFFANY",
        "middle_name": "N.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-10",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "WILBURN",
            "middle_name": "N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Taylor Dawn Ford
• Bruce S Fouts
• Ruthe Fox
• Michelle L Foye
• Jamel L Fraise, MA. PPSC
• Erin Michele Franco
• Daniel Joseph Fraschetti, D.O.
• Helena Culver Fraser, PA-C
• Mary O Frazier-Rivers
• Dina L. Fulgoni

• Case Manager/Care Coordinator in Yucca Valley, CA
• Providers in Yucca Valley, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.