Tiffany Antoinette Netherby

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

11761 Ridge Rd
Grass Valley, CA 95945-5025

Phone

(530) 273-4431

NPI assigned

Aug 20, 2025

Sex

Female

Sole proprietor

Yes

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": "1755648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1912884909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12666 ROUGH AND READY HWY",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959458520",
            "telephone_number": "530-210-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11761 RIDGE RD",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455025",
            "telephone_number": "530-273-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETHERBY",
        "first_name": "TIFFANY",
        "middle_name": "ANTOINETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-20",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nelson R. Maldonadom.D.,Inc.
• Jordan Joseph Nelson
• Angie Nemelka
• Katherine Nerelli
• Chelsea Nesmejanow
• Ashley Nettles
• Neva Monigatti-Lake, M.D.
• Neva Monigatti-Lake, M.D.
• Nevada City Medical Office Inc a Professional Corporation
• Nevada County Behavioral Health (Sierra Family Services)

• Student in an Organized Health Care Education/Training Program in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.