Tiffany Wilson Wade, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-134555 Issued in AL

Practice address

22394 Miflin Rd Ste 203
Foley, AL 36535-9593

Phone

(251) 943-3622

Fax

(251) 943-3683

NPI assigned

Mar 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Foley Clinic Corp.Group PAC ID 5193741759, 86 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Thomas Home Health Home health agency, Fairhope, AL, CCN 017148
• Centerwell Home Health Home health agency, Foley, AL, CCN 017052
• Baldwin Health Hospital, Foley, AL, CCN 010083

Merit-based Incentive Payment System (MIPS)

Final score

87.97 of 100Reported as apm

Quality

75.95

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tiffany.wade.5@1599.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/1599/brand/1/csg/341/fhir/r4

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.

• Foley Clinic Corp

  • Family Medicine Physician
  • Gulf Shores, AL
  • NPI 1629027826
  Medicare reassignment Care Compare group NPD
• Foley Clinic Corp

  • Durable Medical Equipment & Medical Supplies
  • Foley, AL
  • NPI 1427296029
  NPD

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

• Centerwell Certified Healthcare Corp.

  • Home Health Agency
  • Foley, AL
  • NPI 1306875059
  Care Compare affiliation
• Foley Hospital Company LLC

  • General Acute Care Hospital
  • Foley, AL
  • NPI 1053382655
  Care Compare affiliation
• Thomas Home Health, LLC

  • Home Health Agency
  • Fairhope, AL
  • NPI 1790902435
  Care Compare affiliation

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1033677885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22394 MIFLIN RD STE 203",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365359593",
            "telephone_number": "251-943-3622",
            "fax_number": "251-943-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22394 MIFLIN RD STE 203",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365359593",
            "telephone_number": "251-943-3622",
            "fax_number": "251-943-3683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1851 N McKenzie St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Foley",
            "state": "AL",
            "postal_code": "365354703",
            "country_code": "US",
            "telephone_number": "251-424-1232",
            "fax_number": "251-424-1954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADE",
        "first_name": "TIFFANY",
        "middle_name": "WILSON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-134555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232206",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tiffany.wade.5@1599.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "22394 Miflin Rd Ste 203",
            "city": "Foley",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365359593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tammy M Vaughn, LPC
• Verlee V Young LCSW Acsw Pip LLC
• Vinet Health Services LLC
• VLM Mobility LLC
• Ashley Von Bergen
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Walgreen Co
• Todd B Walters, DC

• Family Nurse Practitioner in Foley, AL
• Providers in Foley, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.
• 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.