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TIFFANY HECKENDORN MD
NPI 1689103392
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since June 06, 2017PECOS Enrolled
2516 STOCKTON BLVD, SACRAMENTO, CA 95817(916) 734-2428 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 14, 2022, Jun 6, 2017 (2 updates tracked since 2017).

About Tiffany Heckendorn Md NPPES

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

TIFFANY HECKENDORN MD (NPI 1689103392) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689103392
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTIFFANY HECKENDORNCredential: MD
Location Address2516 STOCKTON BLVDSacramento, CA 95817-2208
Mailing Address2516 Stockton BlvdSacramento, CA 95817-2208 · (916) 734-2428
Phone(916) 734-2428
Sole ProprietorNo
Enumeration DateJune 6, 2017
Last NPPES UpdateJanuary 14, 20222 updates tracked since enumeration
✔ NPI 1689103392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2516 STOCKTON BLVD, Sacramento, CA 95817
Open in Google Maps ↗

Other Names 1

Other Name (5)Tiffany Flossman

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffany Heckendorn Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LENA CLAIRE VAN DER LIST D.O.
Pediatrics
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-2428
ALISON MY LAM M.D.
Pediatrics
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-3665
DR. ELIZABETH PARTRIDGE M.D.
Pediatrics (Pediatric Infectious Diseases)
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (510) 428-4337
SAMANTHA ELISE ELLINWOOD AUMAN M.D.
Student in an Organized Health Care Education/Training Program
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-2428
SARA BRUNDAGE DO
Pediatrics
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-3665
DR. JEANNY KIM PARK M.D.
Pediatrics (Pediatric Cardiology)
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-3589
DR. DENNIS MICHAEL STYNE M.D.
Pediatrics (Pediatric Endocrinology)
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-0129
DR. ARUN RANJAN PANIGRAHI M.D.
Pediatrics (Pediatric Hematology-Oncology)
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-2781

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 Heckendorn's NPI number?

The NPI number for Tiffany Heckendorn is 1689103392. It was assigned to this individual provider in the NPPES registry on June 6, 2017. The provider is also known as Tiffany Flossman.

Where is Tiffany Heckendorn located?

Tiffany Heckendorn practices at 2516 Stockton Blvd, Sacramento, CA 95817. The listed phone number is (916) 734-2428.

What is Tiffany Heckendorn's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tiffany Heckendorn enrolled in Medicare?

Yes. Tiffany Heckendorn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tiffany Heckendorn was last updated on January 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.