Tiffanie M Henry

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

55417 Maple HTS Apt Rear
Bridgeport, OH 43912-1524

Phone

(740) 484-9282

NPI assigned

Aug 16, 2011

Last updated

Dec 27, 2023By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1790064111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55417 MAPLE HTS APT REAR",
            "city": "BRIDGEPORT",
            "state": "OH",
            "postal_code": "439121524",
            "telephone_number": "740-484-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55417 MAPLE HTS APT REAR",
            "city": "BRIDGEPORT",
            "state": "OH",
            "postal_code": "439121524",
            "telephone_number": "740-484-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "TIFFANIE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-16",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0050393",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2860793",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey Lynette Guthrie
• Blair Elizabeth Hamilton
• Sarah Amelia Hamilton
• Heartland-Lansing of Bridgeport Oh LLC (Heartland - Lansing)
• Shawn M Henry
• Christine Marie Herink, M.A. CCC/SLP
• Raelan Brielle Hoops
• Madison Howard, BCBA
• Isd Renal Inc (National Road Dialysis)
• Jacqulyn Sloan-Keenan (Sonotone Hearing Aid Center)

• Home Health Aide in Bridgeport, OH
• Providers in Bridgeport, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.