Organization Active NPI

Fife Integrative Health PA

  • Psychiatric/Mental Health Nurse Practitioner
  • St Augustine, FL
National Provider Identifier
1003794751
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
FIFE INTEGRATIVE HEALTH PA
Practice address
2800 N 6TH St Ste 5138
St Augustine, FL 32084-1920
Phone
(904) 944-6196
NPI assigned
Aug 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Authorized official

Name
Dr. Toni Fife, DNPNPI 1619577566
Title
Ceo
Phone
(540) 771-4202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2800 N 6TH St Ste 5138
St Augustine, FL 32084-1920

Mailing address

2800 N 6TH St Ste 5138
St Augustine, FL 32084-1920
Phone (904) 944-6196

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL tiff.fih@gmail.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20251031000306 FL Part B Supplier - Clinic/Group Practice 8921597725 Receives reassigned benefits from 1 practitioner
Practice locations: St Augustine, FL
O20251222003045 VA Part B Supplier - Clinic/Group Practice 8921597725 Receives reassigned benefits from 2 practitioners
Practice locations: Reva, VA

National Provider Directory

National Provider Directory

Locations

2800 N 6th St
Ste 5138
Saint Augustine, FL 32084
Phone (434) 305-1500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1003794751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N 6TH ST STE 5138",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320841920",
            "telephone_number": "904-944-6196",
            "fax_number": "904-341-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N 6TH ST STE 5138",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320841920",
            "telephone_number": "904-944-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIFE INTEGRATIVE HEALTH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "FIFE",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "540-771-4202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tiff.fih@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2800 N 6th St Ste 5138",
            "city": "St Augustine",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320841920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.