Active NPI
Tiffany Nicole Beaver, CNA
- Counselor
- Bethel, AK
National Provider Identifier
1912318858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 839 Chief Eddie Hoffman Hwy
Bethel, AK 99559-0528 - Phone
- (907) 543-2740
- Fax
- (907) 543-6729
- NPI assigned
- May 14, 2014
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Nurse's Aide | 376K00000X |
Addresses
Primary practice location
839 Chief Eddie Hoffman Hwy
Bethel, AK 99559-0528
Mailing address
PO Box 528
Attn: BH Malone Home Program
Bethel, AK 99559-0528
Phone (907) 543-2740
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1005573 | Medicaid | AK | |
| 1020986 | Medicaid | AK |
Other names 1
- Tiffany Nicole Tikiun
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400025600000",
"number": "1912318858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 528",
"address_2": "ATTN: BH MALONE HOME PROGRAM",
"city": "BETHEL",
"state": "AK",
"postal_code": "995590528",
"telephone_number": "907-543-2740",
"fax_number": "907-543-6729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "839 CHIEF EDDIE HOFFMAN HWY",
"city": "BETHEL",
"state": "AK",
"postal_code": "995590528",
"telephone_number": "907-543-2740",
"fax_number": "907-543-6729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAVER",
"first_name": "TIFFANY",
"middle_name": "NICOLE",
"credential": "CNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-14",
"last_updated": "2014-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1005573",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1020986",
"state": "AK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TIFFANY",
"last_name": "TIKIUN",
"middle_name": "NICOLE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bethel, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.