Individual provider Active NPI

Tiffany Dearing

  • Family Nurse Practitioner
  • Fairmont, WV
National Provider Identifier
1215791074
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
118654 Issued in WV
Practice address
51 Southland Dr Ste 2400
Fairmont, WV 26554-2247
Phone
(304) 376-3650
NPI assigned
Feb 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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 118654 WV Primary

Addresses

Primary practice location

51 Southland Dr Ste 2400
Fairmont, WV 26554-2247

Mailing address

175 Kings CT
Harrisville, WV 26362-1184
Phone (304) 941-5118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20240917003622 WV Practitioner - Nurse Practitioner 3173064235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sanjay Bharti MD, PLLCGroup PAC ID 8224171251, 7 clinicians

Practice addresses (Care Compare)

411 Morgantown St
Kingwood, WV 26537-1095
Phone (304) 329-0555

51 Southland Dr
Suite 1200
Fairmont, WV 26554-2244
Phone (304) 413-2552

800 E Main St
Mannington, WV 26582-1278
Phone (304) 413-2552

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sanjay Bharti MD PLLC CurrentSince May 23, 2024 Accepting new patients

Locations

327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000

51 Southland Dr
Ste 2400
Fairmont, WV 26554
Phone (304) 363-3714

51 Southland Dr
Fairmont, WV 26554
Phone (304) 333-8385

411 Morgantown St
Kingwood, WV 26537
Phone (304) 329-0555

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.

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": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1215791074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 KINGS CT",
            "city": "HARRISVILLE",
            "state": "WV",
            "postal_code": "263621184",
            "telephone_number": "304-941-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SOUTHLAND DR STE 2400",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542247",
            "telephone_number": "304-376-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEARING",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "118654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

Verify at the official NPI Registry.