Active NPI
Tiffany Sims
- Student in an Organized Health Care Education/Training Program
- Pana, IL
National Provider Identifier
1790637429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 209 W 9TH St
Pana, IL 62557-1796 - Phone
- (217) 562-1510
- NPI assigned
- Feb 13, 2026
- Last updated
- Feb 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | IL | Primary |
Addresses
Primary practice location
209 W 9TH St
Pana, IL 62557-1796
Mailing address
852 E 1000 North Rd
Tower Hill, IL 62571-4051
Phone (217) 565-3061
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770940800000",
"number": "1790637429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "852 E 1000 NORTH RD",
"city": "TOWER HILL",
"state": "IL",
"postal_code": "625714051",
"telephone_number": "217-565-3061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 W 9TH ST",
"city": "PANA",
"state": "IL",
"postal_code": "625571796",
"telephone_number": "217-562-1510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "TIFFANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-13",
"last_updated": "2026-02-13",
"certification_date": "2026-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pana, IL
- Rose Garden of Pana, LLC (Rose Garden of Pana)
- RX Stores LLC (Sav Mor Pharmacy)
- Kaitlyn Rzasa, MS, RDN, LDN
- Marc Scholes, NP
- Nancy L. Simpson, PTA
- SJL Health Systems Inc (Prairie Rose Health Care Center)
- Jodi R Smith, PTA
- Dale A Stockton, DMD
- Ronald Paul Swenny Jr., D.C.
- Swenny's Family Chiropractic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.