Active NPI
Tiffany Audlin
- Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1710497946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R118478
- Practice address
- 416 E 30TH St
Baltimore, MD 21218-3934 - Phone
- (410) 889-0727
- Fax
- (410) 889-0729
- NPI assigned
- Oct 2, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R118478 | MD | Primary |
Addresses
Primary practice location
416 E 30TH St
Baltimore, MD 21218-3934
Mailing address
416 E 30TH St
Baltimore, MD 21218-3934
Phone (410) 889-0727
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)
- Enrolled
- Credentials
- Certified Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506902400000",
"number": "1710497946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 E 30TH ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212183934",
"telephone_number": "410-889-0727",
"fax_number": "410-889-0729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 E 30TH ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212183934",
"telephone_number": "410-889-0727",
"fax_number": "410-889-0729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUDLIN",
"first_name": "TIFFANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-02",
"last_updated": "2017-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R118478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
- Audacity of Hope Behavioral Health
- Audacity of Hope Behavioral Health
- Audacity of Hope Behavioral Health LLC
- Carlos Andres Aude
- Audiology Associates Inc.
- Audrey Kelly Counseling LLC
- Khadijat Doyinsola Audu, PHARMD
- Amy Jan Auer, MPT
- Auerbach Hematology Oncology Associates P C
- Auerbach Hematology Oncology Associates P C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.