Individual provider Active NPI

Tiffany Humphrey, APRN

  • Family Nurse Practitioner
  • Enterprise, AL
National Provider Identifier
1164082517
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3013467 Issued in KY
Practice address
1026 Boll Weevil Cir
Enterprise, AL 36330-1317
Phone
(334) 489-9115
Fax
(334) 489-9116
NPI assigned
Jun 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3013467 KY Primary

Addresses

Primary practice location

1026 Boll Weevil Cir
Enterprise, AL 36330-1317

Mailing address

1026 Boll Weevil Cir
Enterprise, AL 36330-1317
Phone (334) 489-9115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20230911000840 AL Practitioner - Nurse Practitioner 4981932928 Reassigns benefits to 2 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
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

1026 Boll Weevil Circle
Enterprise, AL 36330-1317
Phone (251) 444-4670

25 Bear Pkwy
Lincoln, AL 35096-6798
Phone (205) 548-4106

416 N Seminary St
Suite 1100
Florence, AL 35630-6411
Phone (931) 253-1110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Aug 1, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

1026 Boll Weevil Cir
Enterprise, AL 36330
Phone (251) 444-4670

416 N Seminary St
Ste 1100
Florence, AL 35630
Phone (256) 284-7280

25 Bear Pkwy
Lincoln, AL 35096
Phone (205) 548-4106

6316 Piccadilly Square Dr
#A
Mobile, AL 36609
Phone (205) 822-8038

6550 Carothers Pkwy
Ste 225
Franklin, TN 37067

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1164082517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 BOLL WEEVIL CIR",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363301317",
            "telephone_number": "334-489-9115",
            "fax_number": "334-489-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 BOLL WEEVIL CIR",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363301317",
            "telephone_number": "334-489-9115",
            "fax_number": "334-489-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "TIFFANY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, AL

Sources for this page

Verify at the official NPI Registry.