Tiffany Monique Samuels, EMT-B/ HEALTHCARE SP

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

Practice address

301 Andrews Avenue
Lyster Army Health Clinic
Fort Rucker, AL 36362

Phone

(334) 255-7894

Fax

(334) 255-7490

NPI assigned

Mar 25, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1881866366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ANDREWS AVENUE",
            "address_2": "LYSTER ARMY HEALTH CLINIC",
            "city": "FORT RUCKER",
            "state": "AL",
            "postal_code": "36362",
            "telephone_number": "334-255-7894",
            "fax_number": "334-255-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ANDREWS AVENUE",
            "address_2": "LYSTER ARMY HEALTH CLINIC",
            "city": "FORT RUCKER",
            "state": "AL",
            "postal_code": "36362",
            "telephone_number": "334-255-7894",
            "fax_number": "334-255-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "TIFFANY",
        "middle_name": "MONIQUE",
        "credential": "EMT-B/ HEALTHCARE SP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxiene H Ryan, LPN
• Robert Corey Rymer, NREMT
• Amos Samuel Salas, NREMT-BASIC
• Willie Earl Sallis, PA
• Scott A Salmon, MD, MPH
• Dorma Sanders, RN
• Omar Saucedo, EMT/HEALTHCARE SPC
• Mason Webb Sauerwein
• Maria Esther Schaffino
• Donald L Schuman, LCSW, LCDC

• Basic Emergency Medical Technician in Fort Rucker, AL
• Providers in Fort Rucker, AL by specialty
• Basic Emergency Medical Technician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.