Active NPI
Tiffany Brown Alexander
- Occupational Therapist
- Vicksburg, MS
National Provider Identifier
1902282957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-3172
- Practice address
- 106 Fleetwood Dr
Vicksburg, MS 39180-9316 - Phone
- (318) 471-5268
- NPI assigned
- Jul 31, 2015
- Last updated
- Jun 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 116961 | TX | |
| Occupational Therapist | 225X00000X | OT-3172 | MS | Primary |
Addresses
Primary practice location
106 Fleetwood Dr
Vicksburg, MS 39180-9316
Mailing address
106 Fleetwood Dr
Vicksburg, MS 39180-9316
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-3172 | MS | MD | Occupational Therapist |
| 116961 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1902282957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 FLEETWOOD DR",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391809316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 FLEETWOOD DR",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391809316",
"telephone_number": "318-471-5268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN ALEXANDER",
"first_name": "TIFFANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-31",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "116961",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MS",
"license": "OT-3172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vicksburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.