Tiffany Stevens, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

4704272843 Issued in MI

Practice address

12888 Kelley Rd
Brooklyn, MI 49230-8400

Phone

(517) 581-0790

NPI assigned

Jun 18, 2021

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": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1831768530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12888 KELLEY RD",
            "city": "BROOKLYN",
            "state": "MI",
            "postal_code": "492308400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12888 KELLEY RD",
            "city": "BROOKLYN",
            "state": "MI",
            "postal_code": "492308400",
            "telephone_number": "517-581-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "TIFFANY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MI",
            "license": "4704272843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Shepherd, LBSW
• Haley Marie Simpkins
• Kendon Smith
• Troy John Smith
• Elizabeth Stevens, RN
• Storm Caryl, LLC
• Jaclyn Elizabeth Sylvain
• Dori P Tamagne, MD
• Amy Turner
• Erika Dawn Van Poppel, LPC

• General Practice Registered Nurse in Brooklyn, MI
• Providers in Brooklyn, MI by specialty
• General Practice Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.