Individual provider Active NPI

Tiffany Haney, FNP-BC

  • Family Nurse Practitioner
  • Royse City, TX
National Provider Identifier
1164945333
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134564 Issued in TX
Practice address
624 I 30 E Ste 100
Royse City, TX 75189-7566
Phone
(972) 635-2173
NPI assigned
Jul 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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 AP134564 TX Primary

Addresses

Primary practice location

624 I 30 E Ste 100
Royse City, TX 75189-7566

Mailing address

624 I 30 E Ste 100
Royse City, TX 75189-7566
Phone (972) 635-2173

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
I20170907003020 TX Practitioner - Nurse Practitioner 8325311681 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP134564TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Hospital District Family CurrentSince Aug 24, 2022 Accepting new patients
Dallas County Hospital District Family CurrentSince Aug 24, 2022 Accepting new patients
Texas Health Physicians Group CurrentSince Oct 15, 2018 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Dallas County Hospital District Family Current Accepting new patients
Texas Health Physicians Group CurrentSince Oct 15, 2018 Accepting new patients

Locations

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000

624 I 30 E
#100
Royse City, TX 75189
Phone (972) 635-2173

1101 W Interstate 30
Ste 103
Royse City, TX 75189
Phone (972) 635-2173

Interoperability endpoints

  • Direct secure messaging: thaney306452@direct.phhs.org

Organizations & group practices 8

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": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1164945333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 I 30 E STE 100",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "751897566",
            "telephone_number": "972-635-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 I 30 E STE 100",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "751897566",
            "telephone_number": "972-635-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANEY",
        "first_name": "TIFFANY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royse City, TX

Sources for this page

Verify at the official NPI Registry.