Individual provider Active NPI

Tiffany Walters, NCPRSS

  • Peer Specialist
  • Lexington, KY
National Provider Identifier
1053083675
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
710 E Main St
Lexington, KY 40502-1668
Phone
(888) 339-9404
NPI assigned
Oct 1, 2021
Last updated
Oct 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X NU Primary

Addresses

Primary practice location

710 E Main St
Lexington, KY 40502-1668

Mailing address

125 Cool Springs Blvd Ste 270
Franklin, TN 37067-6574
Phone (888) 339-9404

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Wound Therapy-TN PLLC CurrentSince Jun 8, 2025 Accepting new patients
180 Health Partners , Inc CurrentSince Oct 17, 2021 Accepting new patients

Locations

710 E Main St
Lexington, KY 40502
Phone (210) 248-9077

125 Cool Springs Blvd
Ste 270
Franklin, TN 37067
Phone (210) 248-9077

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1053083675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 COOL SPRINGS BLVD STE 270",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676574",
            "telephone_number": "888-339-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E MAIN ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405021668",
            "telephone_number": "888-339-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "TIFFANY",
        "credential": "NCPRSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.