Basic Information
| Provider Information | |||||||||
| NPI: | 1558898189 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SETTLES | ||||||||
| FirstName: | TIFFANY | ||||||||
| MiddleName: | RENEE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | RN, BSN, MSN-NNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 15800 HIGHT AVE | ||||||||
| Address2: | |||||||||
| City: | BELTON | ||||||||
| State: | MO | ||||||||
| PostalCode: | 640121968 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8168047856 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 4401 WORNALL RD | ||||||||
| Address2: | |||||||||
| City: | KANSAS CITY | ||||||||
| State: | MO | ||||||||
| PostalCode: | 641113220 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8169322000 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/14/2017 | ||||||||
| LastUpdateDate: | 09/26/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WN0002X | 14-115984-011 | KS | N | Nursing Service Providers | Registered Nurse | Neonatal Intensive Care | 363LN0000X | 2017027586 | MO | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Neonatal | 163WN0002X | 2011017729 | MO | N | Nursing Service Providers | Registered Nurse | Neonatal Intensive Care | 363LN0000X | 53-77670-011 | KS | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Neonatal |
ID Information
| ID | Type | State | Issuer | Description | 14-115984-011 | 01 | KS | RN LICENSE | OTHER | 2011017729 | 01 | MO | RN LICENSE | OTHER | 2017027586 | 01 | MO | APRN LICENSE | OTHER | 53-77670-011 | 01 | KS | APRN LICENSE | OTHER |