IndividualActive
Nicole Tiefenback
NPI 1114740180 · Peer Specialist · Grants Pass, OR
Nicole Tiefenback is a Peer Specialist provider in Grants Pass, OR (NPI 1114740180).
Provider details
- NPI number
- 1114740180
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Basic profile(49/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
356 Ne Beacon Dr
Grants Pass, OR 97526-3815
Phone: (541) 529-5156
Street-level locationGet directions
Mailing address
Po Box 1121
Roseburg, OR 97470-0254
Registry dates
- Enumerated
- 2024-11-06
- Last updated
- 2024-11-06
- Certified
- 2024-11-06
Frequently asked questions
- What is Nicole Tiefenback's NPI number?
- Nicole Tiefenback's National Provider Identifier (NPI) is 1114740180, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Tiefenback's specialty?
- Nicole Tiefenback is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Nicole Tiefenback located?
- Nicole Tiefenback's practice location on file with NPPES is 356 Ne Beacon Dr, Grants Pass, OR 97526-3815.
- What is Nicole Tiefenback's phone number?
- The practice phone number listed in the NPPES registry for Nicole Tiefenback is (541) 529-5156.
- Is Nicole Tiefenback's NPI active?
- Yes — Nicole Tiefenback's NPI (1114740180) is active in the NPPES registry as of the last update on 2024-11-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.