Tiffany Ellsworth, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN180295 Issued in AZ

Practice address

1507 W Shawnee Dr
Chandler, AZ 85224-2259

Phone

(480) 472-3764

Fax

(480) 472-3767

NPI assigned

Oct 30, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1811325756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 W SHAWNEE DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242259",
            "telephone_number": "480-472-3764",
            "fax_number": "480-472-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 W SHAWNEE DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242259",
            "telephone_number": "480-472-3764",
            "fax_number": "480-472-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLSWORTH",
        "first_name": "TIFFANY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-30",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN180295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellis I Rogers, D.D.S.
• Hannah Ellis
• Clinton Ellsworth, PHARMD
• Duane Ellsworth, D.O.
• Paige Ellsworth, NP
• Rebecca M Elmshauser, ATL, ATC
• Dhalia A Elnahas
• Ihab Sidahmed Elrayah
• Kimberly Elroy-Swartz
• Sherif Amru Elsayed

• School Registered Nurse in Chandler, AZ
• Providers in Chandler, AZ by specialty
• School Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.