Tiffany Nichols, MSN ED RN CPC

Primary specialty

Continuing Education/Staff Development Registered NurseTaxonomy code 163WC1600X

License

150804 Issued in NC

Practice address

161 Fort Dobbs Rd
Statesville, NC 28625-1908

Phone

(704) 880-5581

NPI assigned

Jan 11, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• TK Education and Consulting Solutions PLLC

  • Clinical Medical Laboratory
  • Statesville, NC
  • NPI 1144971284
  NPD Authorized official

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644019200000",
    "number": "1972254191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 FORT DOBBS RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286251908",
            "telephone_number": "704-880-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 FORT DOBBS RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286251908",
            "telephone_number": "704-880-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "TIFFANY",
        "credential": "MSN ED RN CPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "NC",
            "license": "150804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "address_1": "161 Fort Dobbs Rd",
            "city": "Statesville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286251908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• New River Service Authority
• Jacqueline Denise Newsome, RPH
• William Brockenbrough Newton III, MD
• Vivian Nguyen, DMD
• Peter Robert Nicholas
• John Nicholson, MD
• Jason Thomas Noble, PA-C
• Carla Norman
• North Carolina CVS Pharmacy LLC
• North Carolina CVS Pharmacy LLC

• Continuing Education/Staff Development Registered Nurse in Statesville, NC
• Providers in Statesville, NC by specialty
• Continuing Education/Staff Development Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2022; 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.