Tiffany Jasmine Martin

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Practice address

2000 Auburn Dr
Beachwood, OH 44122-4314

Phone

(216) 704-7692

NPI assigned

Oct 20, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Tiffany Jasmine Wood 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": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1902405012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15911 JUDSON DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441282153",
            "telephone_number": "216-704-7692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 AUBURN DR",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224314",
            "telephone_number": "216-704-7692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4153 Lancelot Pl",
            "address_purpose": "LOCATION",
            "city": "Ellenwood",
            "state": "GA",
            "postal_code": "302941597",
            "country_code": "US",
            "telephone_number": "216-704-7697",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15911 Judson Dr",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441282153",
            "country_code": "US",
            "telephone_number": "216-704-7697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TIFFANY",
        "middle_name": "JASMINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "GA",
            "license": "CN0014229703",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "501053941205",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "WOOD",
            "middle_name": "JASMINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Martha D Laska LPCC LLC
• Michaela Hermes Martin, BCBA
• Ruth Martin
• Scott F Martin, M.D.
• Taylor Vaughn Martin
• Michael Edwin Martinez, M.D.
• Yanina Martinsek, MSN APRN
• Christine Eileen Mash, RN
• Darlene Mason, LISW
• Jazmine Diona Mason

• Case Management Agency in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Case Management Agency in Ohio

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