Active NPI
Tiffany L Bennett, CNA, CCMA
- Adult Companion
- Clearwater, FL
National Provider Identifier
1710567367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- License
- 237463
- Practice address
- 2065 N Highland Ave Apt 133F
Clearwater, FL 33755-1326 - Phone
- (727) 288-5454
- NPI assigned
- Apr 8, 2021
- 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 |
|---|---|---|---|---|
| Adult Companion | 372600000X | 237463 | FL | Primary |
Addresses
Primary practice location
2065 N Highland Ave Apt 133F
Clearwater, FL 33755-1326
Mailing address
2065 N Highland Ave Apt 133F
Clearwater, FL 33755-1326
Phone (727) 288-5454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 279858 | Other | FL | CNA |
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 |
|---|---|---|---|
| 237463 | FL | MD | Adult Companion |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617840000000",
"number": "1710567367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2065 N HIGHLAND AVE APT 133F",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337551326",
"telephone_number": "727-288-5454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2065 N HIGHLAND AVE APT 133F",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337551326",
"telephone_number": "727-288-5454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "TIFFANY",
"middle_name": "L",
"credential": "CNA, CCMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-08",
"last_updated": "2021-04-08",
"certification_date": "2021-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "FL",
"license": "237463",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CNA",
"identifier": "279858",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.