Individual provider Active NPI

Tiffany N Godfrey, APRN, FNP-C

  • Family Nurse Practitioner
  • Anderson, IN
National Provider Identifier
1164063962
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28184427A Issued in IN
Practice address
2015 Jackson St
Anderson, IN 46016-4337
Phone
(765) 646-2511
NPI assigned
Oct 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0000074 OH
Family Nurse Practitioner 363LF0000X 28184427A IN Primary

Addresses

Primary practice location

2015 Jackson St
Anderson, IN 46016-4337

Mailing address

3024 Country Estates Dr
New Castle, IN 47362-5107
Phone (765) 524-3589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20200122000776 IN Practitioner - Nurse Practitioner 9234564220 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry County Memorial HospitalGroup PAC ID 6002724085, 153 clinicians

Practice addresses (Care Compare)

1000 N 16TH St
230 New Castle Family and Internal Medici
New Castle, IN 47362-4319
Phone (765) 599-3435

Hospital & facility affiliations

  • Henry County Memorial Hospital Hospital, New Castle, IN, CCN 150030
  • Ascension St Vincent Anderson Hospital, Anderson, IN, CCN 150088
  • Indiana University Health Ball Memorial Hospital Hospital, Muncie, IN, CCN 150089

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0000074OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Services of Memphis, P.C. Nurse Practitioner CurrentSince Sep 22, 2020 Accepting new patients
Cep America LLC CurrentSince Jul 1, 2022 Accepting new patients
Riverview Hospital CurrentSince Apr 30, 2022 Accepting new patients
Inphynet Primary Care Physicians Midwest, S.C. Nurse Practitioner CurrentSince Dec 11, 2019 Accepting new patients
Henry County Memorial Hospital CurrentSince May 8, 2023 Accepting new patients
Cep America LLC Current Accepting new patients
Riverview Hospital Nurse Practitioner CurrentSince Apr 30, 2022 Accepting new patients
Henry County Memorial Hospital CurrentSince May 8, 2023 Accepting new patients
Indiana Emergency Professionals PC Nurse Practitioner CurrentSince Oct 11, 2022 Accepting new patients
Henry County Memorial Hospital Family Current Accepting new patients
Cep America LLC Nurse Practitioner CurrentSince Jul 1, 2022 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

14585 Hazel Dell Pkwy
Rm Urgent
Carmel, IN 46033
Phone (317) 214-5030

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

9690 E 116th St
Fishers, IN 46037
Phone (317) 214-5750

720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349

2200 Forest Ridge Pkwy
New Castle, IN 47362
Phone (765) 521-7385

152 Wittenbraker Ave
New Castle, IN 47362
Phone (765) 521-1483

1000 N 16th St
Ste 230
New Castle, IN 47362
Phone (765) 599-3435

1000 N 16th St
New Castle, IN 47362
Phone (765) 521-0890

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

1451 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-8500

411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

Organizations & group practices 11

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 3

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": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1164063962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 COUNTRY ESTATES DR",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473625107",
            "telephone_number": "765-524-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 JACKSON ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164337",
            "telephone_number": "765-646-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "TIFFANY",
        "middle_name": "N",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0000074",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28184427A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

Verify at the official NPI Registry.