Individual provider Active NPI

Tiffany Dawn Newman

  • Family Nurse Practitioner
  • Portsmouth, OH
National Provider Identifier
1225539828
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0030366 Issued in OH
Practice address
840 Gallia St
Portsmouth, OH 45662-4232
Phone
(740) 354-6685
Fax
(740) 876-4005
NPI assigned
Feb 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN72448-AGPCNP-BC WV
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X APRN.CNP.0030366 OH Primary

Addresses

Primary practice location

840 Gallia St
Portsmouth, OH 45662-4232

Mailing address

411 Court St
Portsmouth, OH 45662-3932
Phone (740) 354-6685

Other identifiers 1

IdentifierTypeStateIssuer
72448OtherWVBOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 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
I20180524002556 WV Practitioner - Nurse Practitioner 9830454776 Reassigns benefits to 1 organization
I20220929003264 OH Practitioner - Nurse Practitioner 9830454776 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN72448-AGPCNP-BCWVMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spero Health of Ohio, LLC Multi-Specialty CurrentSince Apr 30, 2022 Accepting new patients
Scioto County Counseling Center, Inc. Multi-Specialty CurrentSince Sep 8, 2025 Accepting new patients
West Virginia University Medical Corporation Multi-Specialty Current Accepting new patients
Health and Education Building Multi-Specialty CurrentSince Nov 1, 2018 Accepting new patients
West Virginia University Medical Corporation CurrentSince Nov 1, 2018 Accepting new patients

Locations

1493 S Arlington St
Akron, OH 44306
Phone (234) 274-5827

42 N Plaza Blvd
Ste C
Chillicothe, OH 45601
Phone (740) 851-5381

155 Franklin Rd
Ste 430
Brentwood, TN 37027
Phone (615) 265-0359

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

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

1075 Van Voorhis Rd
Ste 150
Morgantown, WV 26505
Phone (304) 598-0122

600 Suncrest Town Centre Dr
Ste 310
Morgantown, WV 26505
Phone (304) 598-2200

1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460

Interoperability endpoints

  • Direct secure messaging: tiffany.newman.p1@direct.thecounselingcenter.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1225539828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 COURT ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623932",
            "telephone_number": "740-354-6685",
            "fax_number": "740-876-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 GALLIA ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624232",
            "telephone_number": "740-354-6685",
            "fax_number": "740-876-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "TIFFANY",
        "middle_name": "DAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-28",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WV",
            "license": "APRN72448-AGPCNP-BC",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0030366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING",
            "identifier": "72448",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.