Active NPI
Tiffany Cunningham, RN
- Registered Nurse
- Centerville, OH
National Provider Identifier
1740929793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN497030
- Practice address
- 513 Windsor Park Dr
Centerville, OH 45459-4112 - Phone
- (937) 350-1636
- NPI assigned
- May 28, 2022
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN497030 | OH | Primary |
Addresses
Primary practice location
513 Windsor Park Dr
Centerville, OH 45459-4112
Mailing address
6607 Hidden Knolls CT
West Carrollton, OH 45449-3419
Phone (937) 673-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Tiffany.luxbeautyandhydration.com | ||
| Other URL | Tiffany.luxbeautyandhydration.com |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN497030 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653696000000",
"number": "1740929793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6607 HIDDEN KNOLLS CT",
"city": "WEST CARROLLTON",
"state": "OH",
"postal_code": "454493419",
"telephone_number": "937-673-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 WINDSOR PARK DR",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454594112",
"telephone_number": "937-350-1636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "TIFFANY",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-28",
"last_updated": "2022-05-28",
"certification_date": "2022-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN497030",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Tiffany.luxbeautyandhydration.com",
"affiliation": "N",
"address_1": "513 Windsor Park Dr",
"city": "Centerville",
"state": "OH",
"country_code": "US",
"postal_code": "454594112",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Tiffany.luxbeautyandhydration.com",
"affiliation": "N",
"address_1": "513 Windsor Park Dr",
"city": "Centerville",
"state": "OH",
"country_code": "US",
"postal_code": "454594112",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.