Tiffany Rene Smith

Primary specialty

ProsthetistTaxonomy code 224P00000X

Practice address

469 J E Clark CV
Marion, AR 72364-2308

Phone

(901) 254-2278

NPI assigned

Jan 18, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Tiffany R Smith

  • Customized Equipment (DME)
  • Cordova, TN
  • NPI 1437641313
  NPD (past) Authorized official

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1750899134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 J E CLARK CV",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723642308",
            "telephone_number": "901-254-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 J E CLARK CV",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723642308",
            "telephone_number": "901-254-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TIFFANY",
        "middle_name": "RENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheri Simpson, LPE
• Shannon Sims
• Deantionette Smallwood
• Linda Smith, LCSW
• Stacy M Smith, MA, CCC-SLP
• Lorenzo Soto
• Emily Ann Stanford, SLP
• Robin Steele, MHPP
• Stephen R. Wah, D.D.S.
• Julie Ann Stutzman Faulkner, O.D.

• Prosthetist in Marion, AR
• Providers in Marion, AR by specialty
• Prosthetist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.