Tiffany D. Dutton, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

APRN.CRNA.16150 Issued in OH

Practice address

3200 Maccorkle Ave SE
Dept. of Surgery
Charleston, WV 25304-1227

Phone

(304) 388-5503

Fax

(304) 388-9852

NPI assigned

Jun 5, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Tiffany D Kirby Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Hospital Development Co

  • Critical Access Hospital
  • Spencer, WV
  • NPI 1316907322

  WV

  Medicare reassignment Care Compare group NPD
• Hospital Development Co

  • Rural Health Clinic/Center
  • Left Hand, WV
  • NPI 1790745677

  WV

  Medicare reassignment Care Compare group NPD
• Charleston Area Medical Center, Inc.

  • General Acute Care Hospital
  • Charleston, WV
  • NPI 1124248752

  WV

  Medicare reassignment NPD
• Hospital Development Co

  • Rural Health Clinic/Center
  • Arnoldsburg, WV
  • NPI 1053059881
  Care Compare group NPD
• Hospital Development Co

  • Ambulance
  • Spencer, WV
  • NPI 1710697040
  Care Compare group NPD
• Hospital Development Co

  • Rural Health Clinic/Center
  • Spencer, WV
  • NPI 1790745172
  Care Compare group NPD (past)
• Hospital Development Co

  • Family Medicine Physician
  • Walton, WV
  • NPI 1639423411
  Care Compare group
• Hospital Development Co

  • Skilled Nursing Facility
  • Spencer, WV
  • NPI 1811958267
  Care Compare group
• Hospital Development Co

  • Rural Health Clinic/Center
  • Spencer, WV
  • NPI 1922068469
  Care Compare group
• Hospital Development Co.

  • Medicare Defined Swing Bed Hospital Unit
  • Spencer, WV
  • NPI 1063509263
  Care Compare group
• Charleston Area Medical Center, Inc.

  • Community/Retail Pharmacy
  • Charleston, WV
  • NPI 1912247750
  NPD
• Hospital Development Co

  • Emergency Medicine Physician
  • Spencer, WV
  • NPI 1184721581
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Development Co

  • Critical Access Hospital
  • Spencer, WV
  • NPI 1316907322

  Hospital

  Care Compare affiliation

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Development Co. 65 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Roane General Hospital Hospital, Spencer, WV, CCN 511306

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1013320118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 MACCORKLE AVE SE",
            "address_2": "DEPT. OF SURGERY",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041227",
            "telephone_number": "304-388-5503",
            "fax_number": "304-388-9852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 MACCORKLE AVE SE",
            "address_2": "DEPT. OF SURGERY",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041227",
            "telephone_number": "304-388-5503",
            "fax_number": "304-388-9852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTTON",
        "first_name": "TIFFANY",
        "middle_name": "D.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-05",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "APRN70833-CRNA",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.16150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0106310",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anesthesia.providers@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "1106 Colegate Dr",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457501323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anesthesia.providers@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "401 Matthew St",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457501635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "KIRBY",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelsey Dusing
• Chynah Dustin
• Amanda Dutcher
• Cherish Dutchess
• Brandy Dutton
• Elizabeth Dwan
• Patricia Dye
• Benjamin Whited Dyer, MD
• Liz Dyess
• Regina Dykes

• All providers in Charleston, WV
• Certified Registered Nurse Anesthetist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.