TIFFANY SUZANNE SHANKLIN APRN NPI 1215270350

NPI Information

NPI: 1215270350
Provider Name: TIFFANY SUZANNE SHANKLIN, APRN
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: FLORIDA HOSPITAL MEDICAL GROUP INC

PECOS Registration: Yes

Address:
1805 27TH ST
PORTSMOUTH, OH
ZIP 45662
Phone: (740) 356-6891
Get Directions

Tiffany Suzanne Shanklin, APRN is an acute care nurse practitioner in Portsmouth, OH with 11 years of experience. Tiffany Suzanne Shanklin, APRN NPI is 1215270350. 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:

1805 27TH ST
PORTSMOUTH, OH
ZIP 45662-640
Phone: (740) 356-6891
Fax: (740) 354-6774

The NPI 1215270350 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 3/27/2013 and was last updated on 12/28/2021.

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
1	363LG0600X	Nurse Practitioner	Gerontology	65591	NEW MEXICO	No
2	363LA2100X	Nurse Practitioner	Acute Care	APRN11011990	FLORIDA	No
3	363LG0600X	Nurse Practitioner	Gerontology	APRN.CNP.021906	OHIO	No
4	363LG0600X	Nurse Practitioner	Gerontology	APRN11011990	FLORIDA	No
5	363LA2100X	Nurse Practitioner	Acute Care	APRN.CNP.021906	OHIO	Yes

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
1	083134	MEDICAID	OHIO
2	7100241150	MEDICAID	KENTUCKY

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: 11/14/2023

NPI Synchronization or Removal

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