Provider Demographics
NPI:1003245218
Name:THOMPSON, TIFFANY SHEA (RNC, NNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:SHEA
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:RNC, NNP-BC
Other - Prefix:MRS
Other - First Name:TIFFANY
Other - Middle Name:SHEA
Other - Last Name:RIBORDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1400 S COULTER ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-1786
Mailing Address - Country:US
Mailing Address - Phone:806-414-9180
Mailing Address - Fax:806-354-5536
Practice Address - Street 1:1400 S COULTER ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-1786
Practice Address - Country:US
Practice Address - Phone:806-414-9180
Practice Address - Fax:806-354-5536
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-07
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX720968163WN0002X, 363LN0000X
TXAP124774363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care
No163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care
No363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal