NPIMap

Individual provider Active NPI

Tiffany Quinn Plunk, FNP-BC

  • Family Nurse Practitioner
  • Martinsville, VA
National Provider Identifier
1184984445
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024169864 Issued in VA
Practice address
319 Hospital Dr Ste 202
Martinsville, VA 24112-1948
Phone
(276) 666-0452
Fax
(276) 666-0363
NPI assigned
May 21, 2012
Last updated
May 21, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2012

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 0024169864 VA Primary

Addresses

Primary practice location

319 Hospital Dr Ste 202
Martinsville, VA 24112-1948

Mailing address

319 Hospital Dr Ste 202
Martinsville, VA 24112-1948
Phone (276) 666-0452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120815000008 VA Practitioner - Nurse Practitioner 5799931374 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carilion Giles Community HospitalGroup PAC ID 3678670221, 223 clinicians
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

1107 A Brookdale St
Martinsville, VA 24112-4501
Phone (276) 670-3300

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Jun 1, 2021 Accepting new patients
Carilion Giles Community Hospital CurrentSince Jan 4, 2021 Accepting new patients
Martinsville Physician Practices LLC CurrentSince Jul 1, 2012 Accepting new patients
Martinsville Physician Practices LLC CurrentSince Jul 1, 2012 Accepting new patients
Carilion Giles Community Hospital CurrentSince Jan 4, 2021 Accepting new patients
Privia Medical Group, LLC CurrentSince Jun 1, 2021 Accepting new patients

Locations

8644 Sudley Rd
#220
Manassas, VA 20110

319 Hospital Dr
Ste 107
Martinsville, VA 24112
Phone (276) 632-0944

319 Hospital Dr
Ste 202
Martinsville, VA 24112
Phone (276) 666-0452

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
  • Direct secure messaging: tiffany.plunk.1@8042.direct.athenahealth.com
  • Direct secure messaging: tplunk131927@direct.carilionclinic.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1184984445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 HOSPITAL DR STE 202",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121948",
            "telephone_number": "276-666-0452",
            "fax_number": "276-666-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 HOSPITAL DR STE 202",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121948",
            "telephone_number": "276-666-0452",
            "fax_number": "276-666-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUNK",
        "first_name": "TIFFANY",
        "middle_name": "QUINN",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024169864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

Verify at the official NPI Registry.