Active NPI
Tiffany Nicole Parker, LPN
- Licensed Practical Nurse
- Dayton, OH
National Provider Identifier
1700120623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 150146
- Practice address
- 7578 Creek Water Dr
Dayton, OH 45459-6302 - Phone
- (937) 790-0784
- NPI assigned
- Nov 15, 2012
- Last updated
- Feb 23, 2013
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 150146 | OH | Primary |
Addresses
Primary practice location
7578 Creek Water Dr
Dayton, OH 45459-6302
Mailing address
7578 Creek Water Dr
Dayton, OH 45459-6302
Phone (937) 790-0784
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150146 | Other | OH | OHIO BOARD OF NURSING |
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 |
|---|---|---|---|
| 150146 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361577600000",
"number": "1700120623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7578 CREEK WATER DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454596302",
"telephone_number": "937-790-0784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7578 CREEK WATER DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454596302",
"telephone_number": "937-790-0784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "TIFFANY",
"middle_name": "NICOLE",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-15",
"last_updated": "2013-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "150146",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO BOARD OF NURSING",
"identifier": "150146",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.