- Practice location
- 1 Soldiers Field Park, Apt 501, Boston, MA 02163-1722
- Phone
- 864-423-3561
- Fax
- —
- Last updated
- September 29, 2015
Tiffany Douglas is a healthcare organization based in Boston, MA. Tiffany Douglas practices in Boston, MA. The NPI Number for Tiffany Douglas is 1629448964 and holds a License No. RN2299504 (MA). The current practice location address for Tiffany Douglas is 1 Soldiers Field Park, Apt 501, Boston, MA 02163-1722 and can be reached out via phone at 864-423-3561.
Provider Profile Details
- NPI Number
- 1629448964
- Provider Name
- Tiffany Douglas
- Provider Entity Type
- Organization
- Address
- 1 Soldiers Field Park, Apt 501, Boston, MA 02163-1722
- Phone Number
- 864-423-3561
- Primary Taxonomy
- Clinic/Center · 261Q00000X
- Organization Subpart
- No
- Authorized Official
- Tiffany Douglas · Fnp/ Primary Care Provider · 864-423-3561
- Provider Enumeration Date
- September 29, 2015
- Last Update Date
- September 29, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Soldiers Field Park
Apt 501
Boston, MA 02163-1722 - City
- Boston
- State
- Massachusetts
- Zip
- 02163-1722
- Phone Number
- 864-423-3561
Provider Business Mailing Address Details
- Address
- 1 Soldiers Field Park
Apt 501
Boston, MA 02163-1722 - City
- Boston
- State
- MA
- Zip
- 02163-1722
- Phone Number
- 864-423-3561
License Information
- License Number
- RN2299504
- License State
- MA
- Taxonomy
- Clinic/Center · 261Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Douglas?
The NPI number of Tiffany Douglas is 1629448964. It was assigned on September 29, 2015 and is currently active in the NPPES registry.
What is the specialty of Tiffany Douglas?
Tiffany Douglas is registered under the primary taxonomy Clinic/Center (code 261Q00000X), licensed in MA under license number RN2299504.
Where does Tiffany Douglas practice?
The practice location is 1 Soldiers Field Park, Apt 501, Boston, MA 02163-1722. The office can be reached at 864-423-3561 (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 1629448964 directly on the NPPES registry website.