Individual provider Active NPI

Tiffany N Maultsby, RN

  • Registered Nurse
  • Cocoa, FL
National Provider Identifier
1881217867
Registry record updated May 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9484252 Issued in FL
Practice address
3890 Oakland St
Cocoa, FL 32927-8417
Phone
(321) 313-7707
Fax
(321) 208-8809
NPI assigned
May 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9484252 FL Primary

Addresses

Primary practice location

3890 Oakland St
Cocoa, FL 32927-8417

Mailing address

908 Bristol Dr
Cocoa, FL 32922-7304
Phone (321) 313-7707

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9484252FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Romes Health Care and Consulting LLC Registered Nurse CurrentSince May 31, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1590364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590364800000",
    "number": "1881217867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 BRISTOL DR",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227304",
            "telephone_number": "321-313-7707",
            "fax_number": "321-208-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 OAKLAND ST",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329278417",
            "telephone_number": "321-313-7707",
            "fax_number": "321-208-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAULTSBY",
        "first_name": "TIFFANY",
        "middle_name": "N",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-25",
        "last_updated": "2020-05-25",
        "certification_date": "2020-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9484252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2020; 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.