Active NPI
Tiffany D Reabold, CRNP
- Family Nurse Practitioner
- Gettysburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP030802
- Practice address
- 250 W Broadway
Gettysburg, PA 17325-1200 - Phone
- (717) 337-4105
- Fax
- (717) 798-3407
- NPI assigned
- Nov 14, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R137035 | MD | |
| Family Nurse Practitioner | 363LF0000X | R137035 | MD | |
| Family Nurse Practitioner | 363LF0000X | SP030802 | PA | Primary |
Addresses
Primary practice location
250 W Broadway
Gettysburg, PA 17325-1200
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405
Other practice location 1
4050 N George Street Ext
Manchester, PA 17345-9347
Phone (717) 356-4370
Other practice location 2
910 Frederick Rd
Catonsville, MD 21228-4516
Phone (410) 644-1880
Other practice location 3
2250 E Market St
York, PA 17402-2857
Phone (717) 851-1566
Other practice location 4
2149 S Queen St
York, PA 17403-4845
Phone (717) 356-4460
Other practice location 5
100 Eisenhower Dr
Hanover, PA 17331-5241
Phone (717) 646-4201
Other practice location 6
100 Eisenhower Dr
Hanover, PA 17331-5241
Phone (717) 646-4201
Other practice location 7
717 Town Center Drive
n/a
York, PA 17408-4824
Phone (717) 356-4240
Other practice location 8
24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone (717) 593-0512
Other practice location 9
601 E Main St
Waynesboro, PA 17268-2332
Phone (717) 765-5088
Other practice location 10
446 N Reading Rd
Ephrata, PA 17522-9802
Phone (717) 738-5275
Other practice location 11
455 S Washington St Ste 12
Gettysburg, PA 17325-2516
Phone (717) 339-2875
Other practice location 12
1000 Norland Ave
Chambersburg, PA 17201-4229
Phone (717) 267-6363
Other practice location 13
96 Sofia Dr Ste 208
Shrewsbury, PA 17361-5201
Phone (717) 812-2400
Other practice location 14
46 Walnut Bottom Rd
Shippensburg, PA 17257-8219
Phone (717) 477-2764
Other practice location 15
9 Nathan Ln
Annville, PA 17003-6500
Phone (717) 639-3350
Other practice location 16
101 W Airport Rd
Lititz, PA 17543-9274
Phone (717) 466-2445
Other names 1
- Tiffany D Shelton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC, PA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 Penn St
Baltimore, MD 21201-1020
Phone (410) 328-2387
22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-8025
36 S Paca St
Baltimore, MD 21201-1735
Phone (410) 328-1660
Hospital & facility affiliations
- University of Maryland Medical Center
- Carroll Hospital Center
- University of MD Medical Center Midtown Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R137035 | MD | MD | Family Nurse Practitioner |
| SP030802 | PA | MD | Family Nurse Practitioner |
Practice roles
Locations
1521 Ritchie Hwy
Ste 201
Arnold, MD 21012
Phone (410) 349-9930
105 Penn St
Baltimore, MD 21201
Phone (410) 328-2387
6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
821 N Eutaw St
Baltimore, MD 21201
Phone (410) 225-9185
910 Frederick Rd
Catonsville, MD 21228
10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450
12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255
200 Hospital Dr
Ste 206
Glen Burnie, MD 21061
Phone (301) 768-5555
200 Hospital Dr
Fl 2
Glen Burnie, MD 21061
Phone (410) 768-5555
7556 Teague Rd
Ste 240
Hanover, MD 21076
Phone (410) 768-5555
6401 America Blvd
Hyattsville, MD 20782
Phone (301) 209-5480
100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791
3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960
200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000
11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
Interoperability endpoints
- treabold461528@wellspan.direct-ci.com
Organizations & group practices 21
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.
-
- Multi-Specialty Clinic/Center
- Baltimore, MD
- NPI 1770684805
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1144271743
-
- Urgent Care Clinic/Center
- Baltimore, MD
- NPI 1710347729
-
- Orthopaedic Surgery Physician
- Olney, MD
- NPI 1487093167
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
DC, MD
-
- Emergency Medicine Physician
- Rockville, MD
- NPI 1164483558
-
- Hematology & Oncology Physician
- Baltimore, MD
- NPI 1679523575
-
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
-
- Orthopaedic Surgery Physician
- Gainesville, VA
- NPI 1063393833
-
- Durable Medical Equipment & Medical Supplies
- Hanover, MD
- NPI 1760872709
-
- Internal Medicine Physician
- Culpeper, VA
- NPI 1881559102
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Westminster, MD
- NPI 1912904210
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1669565180
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733356800000",
"number": "1053392373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 MEMORY LN",
"city": "YORK",
"state": "PA",
"postal_code": "174022231",
"telephone_number": "717-851-1405",
"fax_number": "717-851-6969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 W BROADWAY",
"city": "GETTYSBURG",
"state": "PA",
"postal_code": "173251200",
"telephone_number": "717-337-4105",
"fax_number": "717-798-3407"
}
],
"practiceLocations": [
{
"address_1": "4050 N George Street Ext",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "PA",
"postal_code": "173459347",
"country_code": "US",
"telephone_number": "717-356-4370",
"fax_number": "717-260-3316",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "910 Frederick Rd",
"address_purpose": "LOCATION",
"city": "Catonsville",
"state": "MD",
"postal_code": "212284516",
"country_code": "US",
"telephone_number": "410-644-1880",
"fax_number": "410-646-3623",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2250 E Market St",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174022857",
"country_code": "US",
"telephone_number": "717-851-1566",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2149 S Queen St",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174034845",
"country_code": "US",
"telephone_number": "717-356-4460",
"fax_number": "717-260-3326",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Eisenhower Dr",
"address_purpose": "LOCATION",
"city": "Hanover",
"state": "PA",
"postal_code": "173315241",
"country_code": "US",
"telephone_number": "717-646-4201",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Eisenhower Dr",
"address_purpose": "LOCATION",
"city": "Hanover",
"state": "PA",
"postal_code": "173315241",
"country_code": "US",
"telephone_number": "717-646-4201",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "717 Town Center Drive",
"address_2": "n/a",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174084824",
"country_code": "US",
"telephone_number": "717-356-4240",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "24 Antrim Commons Dr",
"address_purpose": "LOCATION",
"city": "Greencastle",
"state": "PA",
"postal_code": "172251623",
"country_code": "US",
"telephone_number": "717-593-0512",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 E Main St",
"address_purpose": "LOCATION",
"city": "Waynesboro",
"state": "PA",
"postal_code": "172682332",
"country_code": "US",
"telephone_number": "717-765-5088",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "446 N Reading Rd",
"address_purpose": "LOCATION",
"city": "Ephrata",
"state": "PA",
"postal_code": "175229802",
"country_code": "US",
"telephone_number": "717-738-5275",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "455 S Washington St Ste 12",
"address_purpose": "LOCATION",
"city": "Gettysburg",
"state": "PA",
"postal_code": "173252516",
"country_code": "US",
"telephone_number": "717-339-2875",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Norland Ave",
"address_purpose": "LOCATION",
"city": "Chambersburg",
"state": "PA",
"postal_code": "172014229",
"country_code": "US",
"telephone_number": "717-267-6363",
"fax_number": "717-839-6421",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "96 Sofia Dr Ste 208",
"address_purpose": "LOCATION",
"city": "Shrewsbury",
"state": "PA",
"postal_code": "173615201",
"country_code": "US",
"telephone_number": "717-812-2400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "46 Walnut Bottom Rd",
"address_purpose": "LOCATION",
"city": "Shippensburg",
"state": "PA",
"postal_code": "172578219",
"country_code": "US",
"telephone_number": "717-477-2764",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9 Nathan Ln",
"address_purpose": "LOCATION",
"city": "Annville",
"state": "PA",
"postal_code": "170036500",
"country_code": "US",
"telephone_number": "717-639-3350",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 W Airport Rd",
"address_purpose": "LOCATION",
"city": "Lititz",
"state": "PA",
"postal_code": "175439274",
"country_code": "US",
"telephone_number": "717-466-2445",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REABOLD",
"first_name": "TIFFANY",
"middle_name": "D",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-14",
"last_updated": "2024-12-05",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R137035",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R137035",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP030802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TIFFANY",
"last_name": "SHELTON",
"middle_name": "D",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gettysburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.