Individual provider Active NPI

Tiffany Cuevas Hillard, RN

  • Registered Nurse
  • Rockport, IN
National Provider Identifier
1053024364
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
28198666 Issued in IN
Practice address
815 Washington St
Rockport, IN 47635-1252
Phone
(812) 649-2276
Fax
(812) 649-9332
NPI assigned
Jan 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28198666 IN Primary

Addresses

Primary practice location

815 Washington St
Rockport, IN 47635-1252

Mailing address

815 Washington St
Rockport, IN 47635-1252
Phone (812) 649-2276

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL PCC Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
28198666INMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1053024364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 WASHINGTON ST",
            "city": "ROCKPORT",
            "state": "IN",
            "postal_code": "476351252",
            "telephone_number": "812-649-2276",
            "fax_number": "812-649-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 WASHINGTON ST",
            "city": "ROCKPORT",
            "state": "IN",
            "postal_code": "476351252",
            "telephone_number": "812-649-2276",
            "fax_number": "812-649-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLARD",
        "first_name": "TIFFANY",
        "middle_name": "CUEVAS",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28198666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PCC",
            "affiliation": "N",
            "endpointDescription": "electronic charting system",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "PCC",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PCC",
            "address_1": "815 Washington St",
            "city": "Rockport",
            "state": "IN",
            "country_code": "US",
            "postal_code": "476351252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockport, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.