Individual provider Active NPI

Tiffany Dawn French, CRNP

  • Family Nurse Practitioner
  • Connellsville, PA
National Provider Identifier
1013257914
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP012377 Issued in PA
Practice address
208 S Arch St
Connellsville, PA 15425-3536
Phone
(724) 984-6999
NPI assigned
Mar 1, 2013
Last updated
Jul 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP012377 PA Primary

Addresses

Primary practice location

208 S Arch St
Connellsville, PA 15425-3536

Mailing address

425 Virgin Run Rd
Vanderbilt, PA 15486-1135
Phone (724) 984-6999

Other practice location 1

2614 A Memorial Blvd
Connellsville, PA 15425
Phone (724) 603-3560

Other identifiers 1

IdentifierTypeStateIssuer
102839560001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210517000901 PA Practitioner - Nurse Practitioner 4082023395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Trilogy Wellness LLCGroup PAC ID 5597004333, 10 clinicians

Practice addresses (Care Compare)

300 Hansen PLZ
Lyndora, PA 16045-1610
Phone (877) 446-6331

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trilogy Wellness, LLC CurrentSince Mar 10, 2022 Accepting new patients

Locations

208 S Arch St
Connellsville, PA 15425
Phone (724) 626-2630

106 Laird St
Greensburg, PA 15601
Phone (724) 672-8165

201 Alwine Ave
Greensburg, PA 15601
Phone (412) 969-3816

300 Hansen Plz
Lyndora, PA 16045
Phone (724) 256-9424

2526 Monroeville Blvd
Ste 102
Monroeville, PA 15146
Phone (412) 702-9458

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1013257914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 VIRGIN RUN RD",
            "city": "VANDERBILT",
            "state": "PA",
            "postal_code": "154861135",
            "telephone_number": "724-984-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 S ARCH ST",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154253536",
            "telephone_number": "724-984-6999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2614 A Memorial Blvd",
            "address_purpose": "LOCATION",
            "city": "Connellsville",
            "state": "PA",
            "postal_code": "15425",
            "country_code": "US",
            "telephone_number": "724-603-3560",
            "fax_number": "724-603-3561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRENCH",
        "first_name": "TIFFANY",
        "middle_name": "DAWN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-01",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP012377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102839560001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Connellsville, PA

Sources for this page

Verify at the official NPI Registry.