Active NPI
Tiffany Dubray, PA-C
- Physician Assistant
- Brentwood, TN
National Provider Identifier
1699948141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1451
- Practice address
- 1607 Westgate Cir
Suite 200
Brentwood, TN 37027-8075 - Phone
- (615) 376-8195
- NPI assigned
- Apr 4, 2008
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1451 | TN | Primary |
Addresses
Primary practice location
1607 Westgate Cir
Suite 200
Brentwood, TN 37027-8075
Mailing address
1607 Westgate Cir
Suite 200
Brentwood, TN 37027-8075
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1451 | TN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207267200000",
"number": "1699948141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1607 WESTGATE CIR",
"address_2": "SUITE 200",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370278075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1607 WESTGATE CIR",
"address_2": "SUITE 200",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370278075",
"telephone_number": "615-376-8195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBRAY",
"first_name": "TIFFANY",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-04",
"last_updated": "2008-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "1451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.