| Tiffany Roshea Patterson, RD | |
| 1400 Commerce Blvd, Suite 21, Anniston, AL 36207-9451 | |
| (256) 831-3058 | |
| (256) 835-8681 | 
| Full Name | Tiffany Roshea Patterson | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1400 Commerce Blvd, Anniston, Alabama | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1417901315 | NPI | - | NPPES | 
| 51531936 | Other | AL | BLUE CROSS BLUE SHIELD | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-148589 (Alabama) | Primary | 
| 133V00000X | Dietitian, Registered | 1533 (Alabama) | Secondary | 
| Entity Name | Rural Urgent Care Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1932586476 PECOS PAC ID: 8820305600 Enrollment ID: O20150910001722 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tiffany Roshea Patterson, RD 1400 Commerce Blvd, Suite 21, Anniston, AL 36207-9451 Ph: (256) 831-3058 | Tiffany Roshea Patterson, RD 1400 Commerce Blvd, Suite 21, Anniston, AL 36207-9451 Ph: (256) 831-3058 | 
| Amanda Marie Pearson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 516 Quintard Ave, Anniston, AL 36201 Phone: 256-741-9799 Fax: 256-741-9795 | |
| Mary Miller,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 731 Leighton Ave, Anniston, AL 36207 Phone: 256-741-6464 | |
| Cori Clark Broadhead,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 516 Quintard Ave, Anniston, AL 36201 Phone: 256-741-9799 Fax: 256-741-9795 | |
| Holly Flanagan Mays, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3312 Henry Rd, Anniston, AL 36207 Phone: 256-241-2671 Fax: 256-241-2676 | |
| Jessica Benedicta Coby, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 E 10th St, Anniston, AL 36207 Phone: 256-235-5896 | |
| Dr. Dhara Sandip Patel, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 731 Leighton Ave, Anniston, AL 36207 Phone: 256-741-6464 | |
| Jessica Marie Semyonova, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1010 Christine Ave, Anniston, AL 36207 Phone: 256-236-5631 Fax: 256-241-2241 |