Active NPIIndividual providerSole proprietor

Tiffany M Everett, PA-C

Physician Assistant, Medical in Jamaica Plain, Massachusetts

NPI Number1043357080
Practice location
170 Morton St, Jamaica Plain, MA 02130-3735
Fax
—
Last updated
March 25, 2020

Tiffany Marie Everett is a Physician Assistant, Medical based in Jamaica Plain, MA. Tiffany Marie Everett practices in Jamaica Plain, MA and has the professional credentials of PA-C. The NPI Number for Tiffany Marie Everett is 1043357080 and holds a License No. AP 2017 (MA). The current practice location address for Tiffany Marie Everett is 170 Morton St, Jamaica Plain, MA 02130-3735 and can be reached out via phone at 617-971-3452.

Provider Profile Details

NPI Number
1043357080
Provider Name
Tiffany Marie Everett
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
170 Morton St, Jamaica Plain, MA 02130-3735
Phone Number
617-971-3452
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 31, 2007
Last Update Date
March 25, 2020
Certification Date
March 25, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
170 Morton St
Jamaica Plain, MA 02130-3735
Zip
02130-3735
Phone Number
617-971-3452
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
137 Meadowbrook RD
Needham, MA 02492-1936
City
Needham
State
MA
Zip
02492-1936
Phone Number
617-608-7408

License Information

License Number
AP 2017
License State
MA
Taxonomy
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tiffany M Everett, PA-C?

The NPI number of Tiffany M Everett, PA-C is 1043357080. It was assigned on January 31, 2007 and is currently active in the NPPES registry.

What is the specialty of Tiffany M Everett, PA-C?

Tiffany M Everett, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in MA under license number AP 2017.

Where does Tiffany M Everett, PA-C practice?

The practice location is 170 Morton St, Jamaica Plain, MA 02130-3735. The office can be reached at 617-971-3452 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043357080 directly on the NPPES registry website.

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