Individual provider Active NPI

Tiffany Lynn Loughran, CRNA

  • Certified Registered Nurse Anesthetist
  • Youngstown, OH
National Provider Identifier
1063853653
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRNCRNA0020173 Issued in OH
Practice address
1044 Belmont Ave
Youngstown, OH 44504-1006
Phone
(330) 480-3658
Fax
(330) 480-3439
NPI assigned
Jul 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN622212 PA
Certified Registered Nurse Anesthetist 367500000X APRNCRNA0020173 OH Primary

Addresses

Primary practice location

1044 Belmont Ave
Youngstown, OH 44504-1006

Mailing address

4135 Boardman Canfield Rd Ste 101
Canfield, OH 44406-9803
Phone (330) 286-5330

Other practice location 1

100 Fairfield Dr
Seneca, PA 16346-2130
Phone (814) 676-7843

Other practice location 2

239 Edgewood Drive Ext
Transfer, PA 16154-1817
Phone (724) 646-0400

Other identifiers 5

IdentifierTypeStateIssuer
000001422510OtherOHANTHEM OH
1I9497OtherPAMEDICARE PTAN
0420252MedicaidOH
H828800OtherOHMEDICARE PTAN
13609572OtherCAQH

Other names 1

  • Tiffany Lynn Minnick Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130815000233 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9830331156 Reassigns benefits to 4 organizations
I20201109002005 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 9830331156 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians
The Gastroenterology Clinic and Endoscopy Center IncGroup PAC ID 3274429477, 36 clinicians

Practice addresses (Care Compare)

1211 Wilmington Ave
New Castle, PA 16105-2516

1211 Wlmngtn Ave GRND FLR
Div of Pulm Allergy and Crit Care Med
New Castle, PA 16105-2516
Phone (724) 656-4660

1622 E Market St
Warren, OH 44483-6613
Phone (330) 399-7215

2200 Memorial Dr
Farrell, PA 16121-1357
Phone (412) 648-1983

815 Freeport Rd
Pittsburgh, PA 15215-3399
Phone (412) 784-4396

949 N Hermitage Rd
Hermitage Gastroenterology Group Inc
Hermitage, PA 16148-3219
Phone (330) 399-7215

Hospital & facility affiliations

  • Upmc Jameson Hospital, New Castle, PA, CCN 390016
  • Upmc Horizon Hospital, Greenville, PA, CCN 390178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRNCRNA0020173OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia, Pennsylvania , LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2015 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 28, 2025 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 28, 2025 Accepting new patients
The Gastroenterology Clinic & Endoscopy Center Inc CurrentSince Mar 1, 2023 Accepting new patients
Bel-Park Anesthesia Associates, Inc. Nurse Anesthetist, Certified Registered CurrentSince Nov 23, 2020 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients

Locations

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

4135 Boardman Canfield Rd
Ste 101
Canfield, OH 44406
Phone (330) 532-7215

1622 E Market St
Warren, OH 44483
Phone (330) 399-7215

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

949 N Hermitage Rd
Hermitage, PA 16148
Phone (330) 399-7215

2 E Laurel Ave
New Castle, PA 16101
Phone (724) 656-9127

815 Freeport Rd
Pittsburgh, PA 15215
Phone (412) 784-4000

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

100 Fairfield Dr
Seneca, PA 16346
Phone (814) 676-7600

239 Edgewood Drive Ext
Transfer, PA 16154
Phone (724) 646-0350

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1063853653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 BOARDMAN CANFIELD RD STE 101",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069803",
            "telephone_number": "330-286-5330",
            "fax_number": "330-286-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041006",
            "telephone_number": "330-480-3658",
            "fax_number": "330-480-3439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Fairfield Dr",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "PA",
            "postal_code": "163462130",
            "country_code": "US",
            "telephone_number": "814-676-7843",
            "fax_number": "814-676-7838",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "239 Edgewood Drive Ext",
            "address_purpose": "LOCATION",
            "city": "Transfer",
            "state": "PA",
            "postal_code": "161541817",
            "country_code": "US",
            "telephone_number": "724-646-0400",
            "fax_number": "330-286-5396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUGHRAN",
        "first_name": "TIFFANY",
        "middle_name": "LYNN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN622212",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRNCRNA0020173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM OH",
            "identifier": "000001422510",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "1I9497",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0420252",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "H828800",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13609572",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "MINNICK",
            "middle_name": "LYNN",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.