Individual provider Active NPI

Tiffany Tolliver-Battle, FNP-C

  • Family Nurse Practitioner
  • Bastrop, LA
National Provider Identifier
1013424670
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09664 Issued in LA
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

Updated by the provider on May 25, 2023

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 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

IdentifierTypeStateIssuer
2466135MedicaidLA

Other names 1

  • Ms. Tiffany Tolliver Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180222001119 LA Practitioner - Nurse Practitioner 4688935281 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr James Michael Smith Apmc Current Accepting new patients
Morehouse General Hospital CurrentSince May 12, 2022 Accepting new patients
Morehouse Parish Hospital Service District 1 Family CurrentSince Mar 1, 2018 Accepting new patients
Morehouse General Hospital CurrentSince May 12, 2022 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

  • Direct secure messaging: tito4081@yourcarecommunity.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.