Active NPI
Tiffany Breniser, RN
- Registered Nurse
- Youngstown, NY
National Provider Identifier
1699864538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 480854-1
- Practice address
- 3390 Porter Center Rd
Youngstown, NY 14174-9783 - Phone
- (716) 791-4180
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 480854-1 | NY | Primary |
Addresses
Primary practice location
3390 Porter Center Rd
Youngstown, NY 14174-9783
Mailing address
3390 Porter Center Rd
Youngstown, NY 14174-9783
Phone (716) 791-4180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480854-1 | Other | NY | RN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 480854-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247443200000",
"number": "1699864538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3390 PORTER CENTER RD",
"city": "YOUNGSTOWN",
"state": "NY",
"postal_code": "141749783",
"telephone_number": "716-791-4180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3390 PORTER CENTER RD",
"city": "YOUNGSTOWN",
"state": "NY",
"postal_code": "141749783",
"telephone_number": "716-791-4180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENISER",
"first_name": "TIFFANY",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2009-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "480854-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "480854-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Youngstown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.