Tiffany Anderson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3008-154 Issued in WI

Practice address

220 Scholl CT
Amery, WI 54001-1440

Phone

(715) 268-7107

NPI assigned

Sep 26, 2006

Last updated

Nov 19, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Tiffany Fox Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1821199282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1899 99TH AVE",
            "city": "DRESSER",
            "state": "WI",
            "postal_code": "540094460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SCHOLL CT",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "540011440",
            "telephone_number": "715-268-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "8019",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "3008-154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "616055700",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP63614",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "98G65FO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "FOX",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amery Regional Medical Center, Inc.
• Amery Regional Medical Center, Inc. (Amery Hospital & Clinic)
• Amery Regional Medical Center, Inc. (Amery Hospital & Clinic)
• Amery Regional Medical Center, Inc. (Amery Hospital & Clinic - Behavioral Health Center)
• Nathan Patrick Anderson, M.D.
• Murad Aslam, DPT
• Aspen Guardian Services, Inc.
• Lynnette A Barrineau, MD
• Matthew Bogan, M.D.
• Jessica L Bradford, ORTL

• Speech-Language Pathologist in Amery, WI
• Providers in Amery, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.