Individual provider Active NPI

Tiffany Taggart Riley, DNP, FNP-BC, APRN

  • Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1003680125
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
230675 Issued in AR
Practice address
9601 Baptist Health Dr Ste 860
Little Rock, AR 72205-6375
Phone
(501) 975-7456
Fax
(501) 978-1822
NPI assigned
Nov 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 230675 AR Primary
School Registered Nurse 163WS0200X R107327 AR

Addresses

Primary practice location

9601 Baptist Health Dr Ste 860
Little Rock, AR 72205-6375

Mailing address

4261 Stockton Dr Ste Ll100
North Little Rock, AR 72117-2966
Phone (501) 975-7456

Other names 1

  • Ms. Tiffany Amber Taggart Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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

Enrollment IDStateProvider typePAC IDDetails
I20250121000311 AR Practitioner - Nurse Practitioner 2769911742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Dermatology PLLCGroup PAC ID 2466418470, 20 clinicians

Practice addresses (Care Compare)

9601 Baptist Health Dr
Suite 860
Little Rock, AR 72205-6375
Phone (501) 975-7455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R107327ARMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Dermatology PLLC CurrentSince Oct 15, 2024 Accepting new patients

Locations

15506 Highway 5
Ste A
Cabot, AR 72023
Phone (501) 941-3101

1075 Andrews Dr
Conway, AR 72032
Phone (501) 513-9700

2645 Highway 25B
Heber Springs, AR 72543
Phone (501) 362-3100

120 Twin Points Rd
Hot Springs, AR 71913
Phone (501) 547-8372

9601 Baptist Health Dr
Ste 1070
Little Rock, AR 72205
Phone (501) 907-7330

9601 Baptist Health Dr
Ste 860
Little Rock, AR 72205
Phone (501) 975-7455

500 S University Ave
Ste 708
Little Rock, AR 72205
Phone (501) 221-2700

4261 Stockton Dr
Ste 200
North Little Rock, AR 72117
Phone (501) 791-7546

4261 Stockton Dr
Ste LL100
North Little Rock, AR 72117

106 S Inglewood Ave
Ste B
Russellville, AR 72801
Phone (479) 223-5000

2605 E Moore Ave
Searcy, AR 72143
Phone (501) 265-1500

1708 N Buerkle St
Stuttgart, AR 72160
Phone (870) 659-8050

Interoperability endpoints

  • Direct secure messaging: triley@arderm.emadirect.md

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1003680125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4261 STOCKTON DR STE LL100",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172966",
            "telephone_number": "501-975-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 BAPTIST HEALTH DR STE 860",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056375",
            "telephone_number": "501-975-7456",
            "fax_number": "501-978-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "TIFFANY",
        "middle_name": "TAGGART",
        "name_prefix": "Mrs.",
        "credential": "DNP, FNP-BC, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-09",
        "last_updated": "2024-11-05",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "230675",
            "primary": true
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AR",
            "license": "R107327",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "TAGGART",
            "middle_name": "AMBER",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.