TIFFANY CARLSON D.O. – NPI #1104524750
Military Health Care Provider

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

TIFFANY CARLSON is a military health care provider located in FORT RUCKER, AL. NPPES has assigned the NPI number 1104524750 to TIFFANY CARLSON on February 22, 2023. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 171000000X from the Health Care Provider Taxonomy code set, which is classified as Military Health Care Provider.

The NPI profile was last updated on Jul 24, 2025. See the complete NPI profile for TIFFANY CARLSON below.

NPI Profile for
TIFFANY CARLSON

NPI Number
1104524750
Enumeration Date

(more than 3 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
TIFFANY CARLSON
Credentials
D.O.
Primary location
BUILDING 301 ANDREWS AVENUE
FORT RUCKER, AL 36362
Phone: (343) 255-7229 Fax:
1 Other location(s):
3551 Roger Brooke Dr
San Antonio, TX 78234-4504
Phone: (210) 916-4141
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Jul 17, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
171000000X
- Military Health Care Provider (Primary)
IN 02007953A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.