OrganizationActive
Tiffany Douglas
NPI 1629448964 · Clinic/Center · Boston, MA
Tiffany Douglas is a Clinic/Center organization in Boston, MA (NPI 1629448964).
Provider details
- NPI number
- 1629448964
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tiffany Douglas, Fnp/ Primary Care Provider(864) 423-3561
- License
- RN2299504 (MA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% 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
1 Soldiers Field Park
Apt 501
Boston, MA 02163-1722
Phone: (864) 423-3561
Street-level locationGet directions
Mailing address
1 Soldiers Field Park
Boston, MA 02163-1722
Registry dates
- Enumerated
- 2015-09-29
- Last updated
- 2015-09-29
Frequently asked questions
- What is Tiffany Douglas's NPI number?
- Tiffany Douglas's National Provider Identifier (NPI) is 1629448964, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tiffany Douglas?
- Tiffany Douglas is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Tiffany Douglas located?
- Tiffany Douglas's practice location on file with NPPES is 1 Soldiers Field Park, Boston, MA 02163-1722.
- What is Tiffany Douglas's phone number?
- The practice phone number listed in the NPPES registry for Tiffany Douglas is (864) 423-3561.
- Who is the authorized official for Tiffany Douglas?
- The authorized official listed on Tiffany Douglas's NPPES record is Tiffany Douglas, Fnp/ Primary Care Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tiffany Douglas's NPI active?
- Yes — Tiffany Douglas's NPI (1629448964) is active in the NPPES registry as of the last update on 2015-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.