TIFFANY DOUGLAS
NPI 1629448964
Clinic/Center in Boston, MA

Q: What is Tiffany Douglas's NPI number?

The NPI number for Tiffany Douglas is 1629448964. It was assigned to this organization in the NPPES registry on September 29, 2015.

Q: What is Tiffany Douglas's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Tiffany Douglas was last updated on September 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 29, 2015

1 SOLDIERS FIELD PARK, APT 501, BOSTON, MA 02163(864) 423-3561 Get Directions Write a Review

NPPES record last updated: September 29, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Tiffany Douglas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFFANY DOUGLAS (NPI 1629448964) is a healthcare organization registered as a clinic/center in Boston, Massachusetts and active in the NPI registry since September 2015. The organization lists Tiffany Douglas, Fnp/ Primary Care Provider, as its authorized official.

NPPES Registry Identity

NPI1629448964

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameTIFFANY DOUGLAS

Location Address1 SOLDIERS FIELD PARK, APT 501Boston, MA 02163-1722

Mailing Address1 Soldiers Field Park, Apt 501Boston, MA 02163-1722 · (864) 423-3561

Phone(864) 423-3561

Organization SubpartNo

Authorized OfficialTiffany DouglasFnp/ Primary Care Provider · (864) 423-3561

Enumeration DateSeptember 29, 2015

✔ NPI 1629448964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in MA · RN2299504

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

1 SOLDIERS FIELD PARK, Boston, MA 02163

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiffany Douglas's NPI number?

The NPI number for Tiffany Douglas is 1629448964. It was assigned to this organization in the NPPES registry on September 29, 2015.

Where is Tiffany Douglas located?

Tiffany Douglas is located at 1 Soldiers Field Park Apt 501, Boston, MA 02163. The listed phone number is (864) 423-3561.

What is Tiffany Douglas's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Tiffany Douglas was last updated on September 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.