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TIFFANY BLACKMON
NPI 1881002095
Specialist in Rodeo, CA

Active since July 31, 2014
700 SHELLEY CT, RODEO, CA 94572(510) 691-3661 Get Directions Write a Review

NPPES record last updated: July 31, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tiffany Blackmon NPPES

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

TIFFANY BLACKMON (NPI 1881002095) is an individual specialist in Rodeo, California and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1881002095
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameTIFFANY BLACKMON
Location Address700 SHELLEY CTRodeo, CA 94572-2009
Mailing Address700 Shelley CtRodeo, CA 94572-2009
Phone(510) 691-3661
Sole ProprietorNo
Enumeration DateJuly 31, 2014
✔ NPI 1881002095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
700 SHELLEY CT, Rodeo, CA 94572
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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 Blackmon's NPI number?

The NPI number for Tiffany Blackmon is 1881002095. It was assigned to this individual provider in the NPPES registry on July 31, 2014.

Where is Tiffany Blackmon located?

Tiffany Blackmon practices at 700 Shelley Ct, Rodeo, CA 94572. The listed phone number is (510) 691-3661.

What is Tiffany Blackmon's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Tiffany Blackmon was last updated on July 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.