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Active NPI 1225660798 Individual Practitioner Female Practitioner

Tiffany A Wilson , LVN

Licensed Practical Nurse • Waco, TX

Professional Overview & Biography Verified Profile Summary

Tiffany Wilson, LVN is a registered healthcare professional specializing in Licensed Practical Nurse in Waco, TX. Practice services are available at 4800 MEMORIAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4800 Memorial Dr

Waco, TX 767111329

Telephone 2542973000
Associated Practice Facility / Clinic
🏢 Temple Vamc Facility NPI 1013965235

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Waco, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Waco, TX (727 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-02-12
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License TX 202615

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Juliana Laboube , MSW

Social Worker - Clinical

NPI 1063661056

Master of Social Work

NPI 1083917694

Doctor of Optometry

Afton Denson , RN

Registered Nurse

NPI 1104493071

Registered Nurse

Kim Eskridge

Kinesiotherapist

NPI 1154434140
Damarice Mainda

Social Worker

NPI 1184873192
Toni Kincaid , CTRS

Recreation Therapist

NPI 1194329797

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 12, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location February 12, 2020

Registered at 4800 MEMORIAL DR, WACO, TX 767111329 (Tel: 2542973000)

📍
Updated Business Mailing Address February 12, 2020

Registered at 3925 RICHFIELD AVE, WACO, TX 767071659

👤
Provider Name / Credentials Updated February 12, 2020

Recorded as TIFFANY WILSON, LVN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2020

Licensed Practical Nurse (License #202615 in TX)

🟢
Initial NPI Registration & Enumeration February 12, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225660798
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 12, 2020
Last Update: February 12, 2020
Sole Proprietor: Yes

Mailing Address

3925 Richfield Ave

Waco, TX 767071659

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.