Tiffany Marie Faulknor, AAS

Primary specialty

Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X

Practice address

120 Water St
Boyne City, MI 49712

Phone

(231) 303-3950

Fax

(231) 344-5953

NPI assigned

Jul 5, 2018

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

Associate of Applied Science

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.

• Echocardiography on Wheels, LC

  • Sonography Specialist/Technologist Cardiovascular
  • Boyne City, MI
  • NPI 1588150064
  NPD (past) Authorized official

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1811483571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WATER ST",
            "city": "BOYNE CITY",
            "state": "MI",
            "postal_code": "497121696",
            "telephone_number": "231-303-3950",
            "fax_number": "231-344-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WATER ST",
            "city": "BOYNE CITY",
            "state": "MI",
            "postal_code": "49712",
            "telephone_number": "231-303-3950",
            "fax_number": "231-344-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNOR",
        "first_name": "TIFFANY",
        "middle_name": "MARIE",
        "credential": "AAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanette Lynn Erno
• Lee Devere Erno
• Christopher Fair, D.C.
• Family Fare, LLC
• Monica Gruler Farrier, MASSAGE THERAPIST
• Michael Andrew Fleming, DDS
• Erin Fortune
• Gary J. Mellon ,O.D.,P.C.
• Trudy Harbaum, LMSW
• Michael J Harmeling, MD

• Sonography Specialist/Technologist Cardiovascular in Boyne City, MI
• Providers in Boyne City, MI by specialty
• Sonography Specialist/Technologist Cardiovascular in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.