Individual provider Active NPI

Tiffany Leanne Nyaletey, D.C.

  • Chiropractor
  • Fayetteville, NC
National Provider Identifier
1710523261
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5082 Issued in NC
Practice address
2807 Ramsey St
Fayetteville, NC 28301-3109
Phone
(910) 488-4009
Fax
(910) 488-4447
NPI assigned
Nov 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5082 NC Primary

Addresses

Primary practice location

2807 Ramsey St
Fayetteville, NC 28301-3109

Mailing address

2807 Ramsey St
Fayetteville, NC 28301-3109
Phone (910) 488-4009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200324003191 NC Practitioner - Chiropractic 7719315712 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2807 Ramsey St
Fayetteville, NC 28301-3109
Phone (910) 488-4009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5082SCMDChiropractor
5082NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nelson & Nelson Chiropractic, P.C. Chiropractor CurrentSince May 23, 2022 Accepting new patients
Nelson & Nelson III, P.C. Chiropractor CurrentSince Feb 19, 2024 Accepting new patients
Nelson & Nelson IV, P.C. Chiropractor CurrentSince Jan 23, 2020 Accepting new patients

Locations

2807 Ramsey St
Fayetteville, NC 28301
Phone (910) 488-4009

5434 Yadkin Rd
Fayetteville, NC 28303
Phone (910) 860-9119

3202 N Main St
Ste 100
Hope Mills, NC 28348
Phone (910) 401-6813

409 E 2nd St
Lumberton, NC 28358
Phone (910) 608-2224

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1710523261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 RAMSEY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013109",
            "telephone_number": "910-488-4009",
            "fax_number": "910-488-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 RAMSEY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013109",
            "telephone_number": "910-488-4009",
            "fax_number": "910-488-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYALETEY",
        "first_name": "TIFFANY",
        "middle_name": "LEANNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.