Individual provider Active NPI

Shanaira Nicole Tigler, FNP-C

  • Family Nurse Practitioner
  • Gastonia, NC
National Provider Identifier
1205545159
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
50178355 Issued in NC
Practice address
4235 S New Hope Rd
Gastonia, NC 28056-8453
Phone
(704) 825-4750
NPI assigned
Nov 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 277741 NC
Nurse Practitioner 363L00000X TIGL-67B7D NC
Family Nurse Practitioner 363LF0000X 50178355 NC Primary

Addresses

Primary practice location

4235 S New Hope Rd
Gastonia, NC 28056-8453

Mailing address

PO Box 744786
Atlanta, GA 30374-4786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20230522002367 NC Practitioner - Nurse Practitioner 8123484847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caromont Medical Group IncGroup PAC ID 3577476258, 425 clinicians

Practice addresses (Care Compare)

700 N Main St
Stanley, NC 28164-1438
Phone (704) 263-8945

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Shelby, NC, CCN 347317
  • Caromont Regional Medical Center Hospital, Gastonia, NC, CCN 340032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
277741NCMDRegistered Nurse
TIGL-67B7DNCMDNurse Practitioner
50178355NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group Inc Current Accepting new patients
Caromont Medical Group, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Caromont Medical Group Inc Current Accepting new patients
Caromont Medical Group Inc CurrentSince Jun 1, 2023 Accepting new patients

Locations

910 E Church St
Ste A
Cherryville, NC 28021
Phone (704) 445-0422

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

1895 Hoffman Rd
#A
Gastonia, NC 28054
Phone (704) 865-1749

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

700 N Main St
Stanley, NC 28164
Phone (704) 263-8945

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.

Hospital & facility affiliations 2

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": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1205545159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744786",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 S NEW HOPE RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280568453",
            "telephone_number": "704-825-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIGLER",
        "first_name": "SHANAIRA",
        "middle_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-18",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "277741",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "TIGL-67B7D",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "50178355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.