Tiffany Burroughs, CNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

APRN.CNP.0026798 Issued in OH

Practice address

1184 W Locust St
Wilmington, OH 45177-2009

Phone

(937) 382-1616

Fax

(937) 382-7877

NPI assigned

Nov 6, 2020

Last updated

Dec 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tiffany Allen Former name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Trihealth G LLC

  • Internal Medicine Physician
  • Cincinnati, OH
  • NPI 1295862944
  Medicare reassignment NPD
• Trihealth G, LLC

  dba GE Family Wellness Center Pharmacy

  • Community/Retail Pharmacy
  • Cincinnati, OH
  • NPI 1184023640
  NPD
• Trihealth G LLC

  dba Group Health

  • Internal Medicine Physician
  • Cincinnati, OH
  • NPI 1336242726
  NPD (past)

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1073114831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1184 W LOCUST ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772009",
            "telephone_number": "937-382-1616",
            "fax_number": "937-382-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1184 W LOCUST ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772009",
            "telephone_number": "937-382-1616",
            "fax_number": "937-382-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURROUGHS",
        "first_name": "TIFFANY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-06",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "APRN.CNP.0026798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "ALLEN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allyson Ann Bucher, MA CF-SLP
• Thomas Jay Burbage
• Tiffany Burchett
• Timothy Allan Burchett
• Joshua Aaron Burns, DDS
• Linda Burruel
• Lindsay L Burton, LSW
• Christopher Byrd
• Lindsey Callahan
• Caitlin Campbell

• Pediatric Nurse Practitioner in Wilmington, OH
• Providers in Wilmington, OH by specialty
• Pediatric Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.