Active NPI
Tiffany N Godfrey, APRN, FNP-C
- Family Nurse Practitioner
- Anderson, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 28184427A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- Ascension St Vincent Anderson
- Indiana University Health Ball Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0000074 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Services of Memphis, P.C. | Nurse Practitioner | Current | Accepting new patients |
| Cep America LLC | Current | Accepting new patients | |
| Riverview Hospital | Current | Accepting new patients | |
| Inphynet Primary Care Physicians Midwest, S.C. | Nurse Practitioner | Current | Accepting new patients |
| Henry County Memorial Hospital | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Riverview Hospital | Nurse Practitioner | Current | Accepting new patients |
| Henry County Memorial Hospital | Current | Accepting new patients | |
| Indiana Emergency Professionals PC | Nurse Practitioner | Current | Accepting new patients |
| Henry County Memorial Hospital | Family | Current | Accepting new patients |
| Cep America LLC | Nurse Practitioner | Current | 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.
-
- Emergency Medicine Physician
- Lawrenceburg, IN
- NPI 1598068017
IN, Nurse Practitioner
-
- Physician Assistant
- Fort Wayne, IN
- NPI 1528090610
IN, Nurse Practitioner
-
- Emergency Medicine Physician
- Chattanooga, TN
- NPI 1164454450
IN, Nurse Practitioner
-
- Internal Medicine Physician
- New Castle, IN
- NPI 1760800155
-
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1952452815
-
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1831164995
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Muncie, IN
- NPI 1225195340
Hospital
-
- General Acute Care Hospital
- Anderson, IN
- NPI 1679578850
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.
- 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.