Individual provider Active NPI

Tiffany M. Amburgey, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1194268334
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3011093 Issued in KY
Practice address
1930 Bishop LN FL 12
Louisville, KY 40218-1921
Phone
(502) 272-5220
Fax
(502) 272-5117
NPI assigned
Nov 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1124688 KY
Family Nurse Practitioner 363LF0000X 3011093 KY Primary

Addresses

Primary practice location

1930 Bishop LN FL 12
Louisville, KY 40218-1921

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tamburgey47397@direct.nortonhealthcare.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170216002870 KY Practitioner - Nurse Practitioner 6305129362 Reassigns benefits to 2 organizations
I20170728001732 IN Practitioner - Nurse Practitioner 6305129362 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, shared by 2 NPIs, 1,368 clinicians

Practice addresses (Care Compare)

1930 Bishop LN
FL 12
Louisville, KY 40218-1921
Phone (502) 272-5220

2051 Clevidence Blvd
Suite B
Clarksville, IN 47129-2278
Phone (812) 280-9145

Hospital & facility affiliations

  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1124688KYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Feb 1, 2017 Accepting new patients
Community Medical Associates, Inc. Family Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Little Clinic of in LLC Family CurrentSince Jul 19, 2017 Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

2051 Clevidence Blvd
Ste B
Clarksville, IN 47129
Phone (502) 629-2030

3060 N National Rd
Columbus, IN 47201
Phone (812) 314-7955

815 Highlander Point Dr
Floyds Knobs, IN 47119
Phone (812) 923-7146

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

1930 Bishop Ln
Fl 12
Louisville, KY 40218
Phone (502) 272-5220

5533 New Cut Rd
Louisville, KY 40214
Phone (502) 361-7238

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

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 and National Provider Directory roles.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1194268334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 BISHOP LN FL 12",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181921",
            "telephone_number": "502-272-5220",
            "fax_number": "502-272-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBURGEY",
        "first_name": "TIFFANY",
        "middle_name": "M.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-21",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1124688",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tamburgey47397@direct.nortonhealthcare.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1930 Bishop Ln Fl 12",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402181921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.