Tiffany Sherice Donnelly

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

1736303 Issued in MO

Practice address

1816 SE Adams St
Topeka, KS 66607-1221

Phone

(785) 596-7083

NPI assigned

May 19, 2021

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Tee'S Tender Care Cna Agency

  • Nurse's Aide
  • Topeka, KS
  • NPI 1073189262

  Home Health Aide

  NPD Authorized official

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1790359032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 SE ADAMS ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666071221",
            "telephone_number": "785-596-7083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 SE ADAMS ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666071221",
            "telephone_number": "785-596-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "TIFFANY",
        "middle_name": "SHERICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "MO",
            "license": "1736303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040807",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Don C Gordy, DDS PA
• Donald J Crowder Lscsw LLC
• Donald J Crowder Lscsw LLC
• Patricia Ann Doncouse, RN
• Rao S Donepudi, M.D.
• Debra J Donoghue
• Donna M Doolin, LSCSW
• Shelby L Dority
• Rhobbie J Dorsey, CADC
• Stacey Dorsey

• Home Health Aide in Topeka, KS
• Providers in Topeka, KS by specialty
• Home Health Aide in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.