Tiffanie Kelsch

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

2679 Issued in UT

Practice address

623 E 2100 S # B1
Salt Lake City, UT 84106-1827

Phone

(801) 864-7987

NPI assigned

Jul 23, 2024

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

State licenses

Practice roles

Locations

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.

• Domestic Abuse Recovery Solutions Inc

  • Peer Specialist
  • Salt Lake City, UT
  • NPI 1053152272
  NPD

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1780412577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1811",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840911811",
            "telephone_number": "801-864-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 E 2100 S # B1",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841061827",
            "telephone_number": "801-864-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSCH",
        "first_name": "TIFFANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "UT",
            "license": "2679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Patrick Kelly, RPH. MBA
• Rowan H. Kelner, MD
• Travis Lance Kelner, PA-C
• Diana Kelsch
• McKinna Kelsch
• Kelly A Kelsey, PHARM.D.
• Stefanie Geiger Kelsey, MD
• Cody Kelso, MD
• Heidi Kelso
• Kelly Lee Kelso, CPNP

• Peer Specialist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Peer Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.