Active NPI
Tiffany Tolliver-Battle, FNP-C
- Family Nurse Practitioner
- Bastrop, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP09664
- Practice address
- 420 Gunby Ave
Bastrop, LA 71220-4406 - Phone
- (318) 283-3920
- Fax
- (318) 239-8920
- NPI assigned
- Jan 4, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP09664 | LA | Primary |
Addresses
Primary practice location
420 Gunby Ave
Bastrop, LA 71220-4406
Mailing address
PO Box 293
Bastrop, LA 71221-0293
Phone (318) 283-3970
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2466135 | Medicaid | LA |
Other names 1
- Ms. Tiffany Tolliver
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr James Michael Smith Apmc | Current | Accepting new patients | |
| Morehouse General Hospital | Current | Accepting new patients | |
| Morehouse Parish Hospital Service District 1 | Family | Current | Accepting new patients |
| Morehouse General Hospital | Current | Accepting new patients |
Locations
430 S Vine St
Bastrop, LA 71220
Phone (318) 283-3930
420 S Vine St
Bastrop, LA 71220
Phone (318) 281-0065
532 S Washington St
Bastrop, LA 71220
Phone (318) 281-5600
221 W Hickory Ave
Bastrop, LA 71220
Phone (318) 281-3211
323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600
Interoperability endpoints
- tito4081@yourcarecommunity.org
- tiffany.tolliver-battle.1@29430.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Bastrop, LA
- NPI 1790966638
-
- Multi-Specialty Clinic/Center
- Bastrop, LA
- NPI 1891013496
Family
-
- Family Nurse Practitioner
- Monroe, LA
- NPI 1093523664
-
- Primary Care Clinic/Center
- Bastrop, LA
- NPI 1508064296
-
- Rural Health Clinic/Center
- Bastrop, LA
- NPI 1992207294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1013424670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 293",
"city": "BASTROP",
"state": "LA",
"postal_code": "712210293",
"telephone_number": "318-283-3970",
"fax_number": "318-239-8970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 GUNBY AVE",
"city": "BASTROP",
"state": "LA",
"postal_code": "712204406",
"telephone_number": "318-283-3920",
"fax_number": "318-239-8920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLLIVER-BATTLE",
"first_name": "TIFFANY",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-04",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP09664",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2466135",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TIFFANY",
"last_name": "TOLLIVER",
"prefix": "MS.",
"credential": "FNP-C",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bastrop, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.