Kelsey Dawn Tiffany, is a
Licensed Vocational Nurse based in Santa Monica, California. Kelsey Dawn Tiffany is licensed to practice in California (license number VN697274) and her current practice location is
909 Pico Blvd, Santa Monica, California. She can be reached at her office (for appointments etc.) via phone at
(310) 314-6200.
NPI number for Kelsey Dawn Tiffany is 1699298679 and her current mailing address is 909 Pico Blvd, Santa Monica, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699298679.
Healthcare Provider's Profile
Full Name | Kelsey Dawn Tiffany |
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Gender | Female |
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Speciality | Licensed Vocational Nurse |
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Location | 909 Pico Blvd, Santa Monica, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699298679
- Provider Enumeration Date: 07/20/2017
- Last Update Date: 08/23/2018
Medical Identifiers
Medical identifiers for Kelsey Dawn Tiffany such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699298679 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | R1253020617 (California) | Secondary |
164X00000X | Licensed Vocational Nurse | VN697274 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelsey Dawn Tiffany is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelsey Dawn Tiffany, 909 Pico Blvd, Santa Monica, CA 90405-1326 Ph: (310) 314-6200 | Kelsey Dawn Tiffany, 909 Pico Blvd, Santa Monica, CA 90405 Ph: (310) 314-6200 |
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