Tiffany Arnold, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2020032735 Issued in MO

Practice address

10 Lake Dr
Bonne Terre, MO 63628-1820

Phone

(636) 297-5025

Fax

(573) 358-1090

NPI assigned

Sep 30, 2020

Last updated

Feb 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1770190050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10344 TERRACE RD",
            "city": "FLETCHER",
            "state": "MO",
            "postal_code": "630301104",
            "telephone_number": "636-297-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 LAKE DR",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636281820",
            "telephone_number": "636-297-5025",
            "fax_number": "573-358-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "TIFFANY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020032735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tarnold@momedproviders.com",
            "affiliation": "N",
            "endpointDescription": "MMP",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10 Lake Dr",
            "city": "Bonne Terre",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636281820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• American Nursing & Rehab LLC (ST Joe Manor)
• American Nursing & Rehab LLC
• Bateman Holdings LLC (Bonne Terre Chiropractic)
• Kathryn Marie Bateman, DC
• BC Missouri Emergency Physicians LLP
• BC Missouri Emergency Physicians, LLP
• Lawrence Charles Bellon, DDS

• Family Nurse Practitioner in Bonne Terre, MO
• Providers in Bonne Terre, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.