TIFFANY DIANE BAILEY FNP NPI 1174069348

NPI Information

  • NPI: 1174069348
  • Provider Name: TIFFANY DIANE BAILEY, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9900 BREN ROAD EAST
    MAIL ROUTE MN 008-B213
    MINNETONKA, MN
    ZIP 55343
  • Phone: (520) 466-7883

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NPI Details

Tiffany Diane Bailey, FNP is a family nurse practitioner in Minnetonka, MN with 10 years of experience. Tiffany Diane Bailey, FNP NPI is 1174069348. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9900 BREN ROAD EAST
MAIL ROUTE MN 008-B213
MINNETONKA, MN
ZIP 55343
Phone: (520) 466-7883

The NPI 1174069348 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/12/2017 and was last updated on 7/16/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyAP9780ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1236931MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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