TIFFANY ROSHEA PATTERSON RD NPI 1417901315

NPI Information

  • NPI: 1417901315
  • Provider Name: TIFFANY ROSHEA PATTERSON, RD
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1400 COMMERCE BLVD
    SUITE 21
    ANNISTON, AL
    ZIP 36207
  • Phone: (256) 831-3058

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NPI Details

Tiffany Roshea Patterson, RD is a family nurse practitioner in Anniston, AL. Tiffany Roshea Patterson, RD NPI is 1417901315. 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:

1400 COMMERCE BLVD
SUITE 21
ANNISTON, AL
ZIP 36207-451
Phone: (256) 831-3058
Fax: (256) 835-8681

The NPI 1417901315 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 5/22/2006 and was last updated on 12/8/2017.

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
1133V00000XDietitian, Registered1533ALABAMANo
2363LF0000XNurse PractitionerFamily1-148589ALABAMAYes

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
151531936OTHERALABAMABLUE CROSS BLUE SHIELD

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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