Individual provider Active NPI

Tiffany Lauren Sweatt, CRNP

  • Pediatric Nurse Practitioner
  • Gadsden, AL
National Provider Identifier
1053863522
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1-106170 Issued in AL
Practice address
501 Bay St
Gadsden, AL 35901-5181
Phone
(256) 543-2894
Fax
(256) 543-8185
NPI assigned
Oct 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1-106170 AL Primary

Addresses

Primary practice location

501 Bay St
Gadsden, AL 35901-5181

Mailing address

501 Bay St
Gadsden, AL 35901-5181
Phone (256) 543-2894

Other identifiers 1

IdentifierTypeStateIssuer
1-106170OtherALLICENSE

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

State licenses

LicenseStateTypeSpecialty
1-106170ALMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gadsden Pediatric Clinic, P.a. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tiffanysweatt@gpcp-al.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1053863522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BAY ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015181",
            "telephone_number": "256-543-2894",
            "fax_number": "256-543-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BAY ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015181",
            "telephone_number": "256-543-2894",
            "fax_number": "256-543-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEATT",
        "first_name": "TIFFANY",
        "middle_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1-106170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1-106170",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.