Individual provider Active NPI

Tiffany Marie Hafer, APRN, FNP-C

  • Family Nurse Practitioner
  • The Villages, FL
National Provider Identifier
1184316762
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11026386 Issued in FL
Practice address
3875 Wedgewood LN
The Villages, FL 32162-9301
Phone
(352) 674-4800
Fax
(352) 674-4801
NPI assigned
May 23, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2023

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 APRN11026386 FL Primary

Addresses

Primary practice location

3875 Wedgewood LN
The Villages, FL 32162-9301

Mailing address

6911 SE 99TH PL
Belleview, FL 34420-6369
Phone (352) 233-9998

Other practice location 1

1720 SE 16th Ave Ste 304-C
Ocala, FL 34471-4620
Phone (352) 857-8417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APRN11026386FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elyaman Medical Services PA Family PastSince Apr 1, 2023 Accepting new patients

Organizations & group practices 1

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": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1184316762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 SE 99TH PL",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344206369",
            "telephone_number": "352-233-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3875 WEDGEWOOD LN",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321629301",
            "telephone_number": "352-674-4800",
            "fax_number": "352-674-4801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720 SE 16th Ave Ste 304-C",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344714620",
            "country_code": "US",
            "telephone_number": "352-857-8417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAFER",
        "first_name": "TIFFANY",
        "middle_name": "MARIE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11026386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.