Active NPI
Tiffany Ann McCready
- Occupational Therapist
- O Fallon, MO
National Provider Identifier
1740951946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 700 Garden Path
O Fallon, MO 63366-3052 - Phone
- (636) 542-4302
- NPI assigned
- Sep 27, 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
700 Garden Path
O Fallon, MO 63366-3052
Mailing address
418 Northridge Dr
Saint Louis, MO 63137-3601
Phone (314) 498-9843
Other names 1
- Mrs. Tiffany Ann Woodard
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632700800000",
"number": "1740951946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 NORTHRIDGE DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631373601",
"telephone_number": "314-498-9843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 GARDEN PATH",
"city": "O FALLON",
"state": "MO",
"postal_code": "633663052",
"telephone_number": "636-542-4302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCREADY",
"first_name": "TIFFANY",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-27",
"last_updated": "2021-09-27",
"certification_date": "2021-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TIFFANY",
"last_name": "WOODARD",
"middle_name": "ANN",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in O Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.