Tiffany Anne Wilkerson, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

160278 Issued in TN

Practice address

810 W Church St
Greeneville, TN 37745-3285

Phone

(423) 798-1749

Fax

(423) 798-1755

NPI assigned

Jan 30, 2019

Last updated

Jan 30, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1962966333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 TREASURE LN",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376047816",
            "telephone_number": "423-979-3200",
            "fax_number": "423-979-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 W CHURCH ST",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377453285",
            "telephone_number": "423-798-1749",
            "fax_number": "423-798-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "TIFFANY",
        "middle_name": "ANNE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "TN",
            "license": "160278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4447921",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Whitt
• Jeffrey Alan Wilhite, PT, DPT, ATC
• Jerry M Wilhoit, DC
• Linda Suzanne Wilhoit, OTR
• Samuel Wilhoit, PTA
• Melissa Darlene Willett, BS
• Jordan Willey
• William J. Smead, MD, PC
• Mariah Williams Wooldridge, LPC
• James Ronnie Williams, DDS

• Community Health Registered Nurse in Greeneville, TN
• Providers in Greeneville, TN by specialty
• Community Health Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.