Tabitha Nicole Stiff, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

902458 Issued in MS

Practice address

123 N Front St
Winona, MS 38967-2239

Phone

(662) 283-2505

Fax

(601) 825-8130

NPI assigned

Mar 21, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Family Health Care Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Pearl, MS
  • NPI 1043236326
  Medicare reassignment NPD
• Family Health Care Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Piney Woods, MS
  • NPI 1437412996
  NPD
• Family Health Care Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Flowood, MS
  • NPI 1689440133
  NPD
• Family Health Care Clinic, Inc

  • Federally Qualified Health Center (FQHC)
  • Brandon, MS
  • NPI 1346266616
  NPD (past)

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1225532450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 E SIXTH ST",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391943621",
            "telephone_number": "601-473-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N FRONT ST",
            "city": "WINONA",
            "state": "MS",
            "postal_code": "389672239",
            "telephone_number": "662-283-2505",
            "fax_number": "601-825-8130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2080 S Frontage Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Vicksburg",
            "state": "MS",
            "postal_code": "391805882",
            "country_code": "US",
            "telephone_number": "985-892-7070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STIFF",
        "first_name": "TABITHA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Leon Selby, OTD
• Serenity Healthcare Services
• Cassidy Michelle Sherman
• Sheri Shurden
• State of Mississippi - University of Mississippi Medical Center
• Brooke Ann Thomas, OTR/L
• Kimberly Thompson
• Lauren Tillman, CCC-SLP
• Leianne M Tindall
• Nanda E. Tompkins

• Family Nurse Practitioner in Winona, MS
• Providers in Winona, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.