Individual provider Active NPI

Tiffany Golub, CRNP, CNM

  • Midwife
  • Huntsville, AL
National Provider Identifier
1013476050
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
1116046 Issued in AL
Practice address
320 Pelham Ave SW Ste 301
Huntsville, AL 35801-5051
Phone
(256) 759-9269
Fax
(256) 759-9187
NPI assigned
Mar 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 1116046 AL Primary

Addresses

Primary practice location

320 Pelham Ave SW Ste 301
Huntsville, AL 35801-5051

Mailing address

320 Pelham Ave SW Ste 301
Huntsville, AL 35801-5051
Phone (256) 759-9269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190928000105 AL Practitioner - Certified Nurse Midwife (CNM) 0547590879 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
1116046ALMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Women4Women OBGYN, LLC CurrentSince Jun 20, 2019 Accepting new patients
H H Health System-Morgan LLC Past Accepting new patients

Locations

320 Pelham Ave SW
Ste 300
Huntsville, AL 35801
Phone (256) 675-9269

320 Pelham Ave SW
Ste 301
Huntsville, AL 35801
Phone (256) 675-9269

Interoperability endpoints

  • Direct secure messaging: tiffany.golub.1@7773.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15832/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1013476050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PELHAM AVE SW STE 301",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015051",
            "telephone_number": "256-759-9269",
            "fax_number": "256-759-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PELHAM AVE SW STE 301",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015051",
            "telephone_number": "256-759-9269",
            "fax_number": "256-759-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLUB",
        "first_name": "TIFFANY",
        "credential": "CRNP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "AL",
            "license": "1116046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.