Individual provider Active NPI

Tiffany Wargo, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Warren, AR
National Provider Identifier
1104361880
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
A009406 Issued in AR
Practice address
304 East Central St.
Warren, AR 71671-3452
Phone
(870) 226-8636
NPI assigned
Jan 4, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 9

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 1

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bradley County Medical Center 15 clinicians

Practice addresses (Care Compare)

404 S Bradley St
Warren, AR 71671-3459
Phone (870) 226-3731

Hospital & facility affiliations

  • Bradley County Medical Center Hospital, Warren, AR, CCN 041327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20170411000636 AR Practitioner - Nurse Practitioner 6103102934 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A009406ARMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley County Medical Center CurrentSince Jun 19, 2023 Accepting new patients
Bradley County Medical Center CurrentSince Sep 1, 2025 Accepting new patients
Bradley County Medical Center Current Accepting new patients
Bradley County Medical Center CurrentSince Sep 1, 2025 Accepting new patients
Bradley County Medical Center CurrentSince Jun 19, 2023 Accepting new patients
Bradley County Medical Center CurrentSince Sep 1, 2025 Accepting new patients
Bradley County Medical Center Past Accepting new patients
Icarepro of Texas, PA Past Accepting new patients

Locations

404 S Bradley St
Warren, AR 71671
Phone (870) 226-3731

304 E Central St
Warren, AR 71671
Phone (870) 226-8636

304 W Central St
Warren, AR 71671

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/bradley-49d5c27e

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X A004906 AR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X A009406 AR Primary

Addresses

NPPES NPI Registry

Primary practice location

304 East Central St.
Warren, AR 71671-3452

Mailing address

304 East Central
Warren, AR 71671-0509
Phone (870) 226-8636

Other practice location 1

404 S. Bradley St.
Warren, AR 71671-3542
Phone (870) 226-3731 ext. 361

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 21, 2025.

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1104361880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 EAST CENTRAL",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716710509",
            "telephone_number": "870-226-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 EAST CENTRAL ST.",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716713452",
            "telephone_number": "870-226-8636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 S. Bradley St.",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "AR",
            "postal_code": "716713542",
            "country_code": "US",
            "telephone_number": "870-226-3731 x361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARGO",
        "first_name": "TIFFANY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AR",
            "license": "A004906",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "A009406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, AR

Sources for this page

Verify at the official NPI Registry.