Tiffany Tolliver

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1157411 Issued in AL

Practice address

508 Deer Ridge Run
Jasper, AL 35503-5573

Phone

(606) 302-1233

NPI assigned

May 28, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southern Blessings Adult and Pediatric Housecall LLC

  • Family Medicine Physician
  • Jasper, AL
  • NPI 1740877257
  Medicare reassignment NPD Authorized official
• American Family Care, LLC

  • Primary Care Clinic/Center
  • Birmingham, AL
  • NPI 1669429080
  Medicare reassignment NPD
• Southern Blessings Adult and Pediatrics LLC

  • Clinic/Center
  • Jasper, AL
  • NPI 1184204414
  NPD Authorized official
• American Family Care, LLC

  • Family Medicine Physician
  • Vestavia Hills, AL
  • NPI 1265210645
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1003473877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 DEER RIDGE RUN",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355035573",
            "telephone_number": "606-302-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 DEER RIDGE RUN",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355035573",
            "telephone_number": "606-302-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLIVER",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1157411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tiffany.tolliver@amedisys.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "508 Deer Ridge Run",
            "city": "Jasper",
            "state": "AL",
            "country_code": "US",
            "postal_code": "355035573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• The Hyche Center
• Therapy South Jasper LLC
• Katherine Kirigo Theuri
• Bobbi S Tolbert, RPH
• Hector T Toledo, M.D.
• Tricounty Mental Retardation
• Tricounty Mental Retardation
• Katrina Leighann Tuggle, CRNA
• Katrina Jewel Tunget, COTA
• Urgent Care Northwest PC

• Family Nurse Practitioner in Jasper, AL
• Providers in Jasper, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.