Individual provider Active NPI

Tiffany Lanee McDow, APRN-CNP

  • Acute Care Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1073399440
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1102137 Issued in TX
Practice address
923 Pennsylvania Ave Ste 100
Fort Worth, TX 76104-2254
Phone
(817) 920-0484
NPI assigned
Sep 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1102137 TX Primary

Addresses

Primary practice location

923 Pennsylvania Ave Ste 100
Fort Worth, TX 76104-2254

Mailing address

425 E Lamar Blvd Apt 362
Arlington, TX 76011-1148
Phone (469) 826-9214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20231113002091 TX Practitioner - Nurse Practitioner 9537516596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Care PLLCGroup PAC ID 7214840867, 363 clinicians

Practice addresses (Care Compare)

923 Pennsylvania Ave
Suite 100
Fort Worth, TX 76104-2254
Phone (817) 920-0484

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1102137TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Care, P.L.L.C. CurrentSince Sep 12, 2023 Accepting new patients
Texas Health Care, P.L.L.C. Current Accepting new patients

Locations

75 Main St
Ste 150
Colleyville, TX 76034
Phone (817) 503-2442

923 Pennsylvania Ave
Ste 100
Fort Worth, TX 76104
Phone (817) 806-4245

6700 Buenos Aires Dr
North Richlnd Hls, TX 76180
Phone (817) 281-8245

Interoperability endpoints

  • Direct secure messaging: tiffany.mcdow.p1@direct.thc.nextgenshare.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1073399440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E LAMAR BLVD APT 362",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760111148",
            "telephone_number": "469-826-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 PENNSYLVANIA AVE STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042254",
            "telephone_number": "817-920-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOW",
        "first_name": "TIFFANY",
        "middle_name": "LANEE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1102137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.