Provider Demographics
NPI:1417843558
Name:BAIRD, TIFFANY MICHELE
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:MICHELE
Last Name:BAIRD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1107 3RD AVE APT 12
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68845-6769
Mailing Address - Country:US
Mailing Address - Phone:308-224-7736
Mailing Address - Fax:
Practice Address - Street 1:211 E 18TH ST
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-6116
Practice Address - Country:US
Practice Address - Phone:308-224-7736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker