Individual provider Active NPI

Tiffany Brook Noyes, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Price, UT
National Provider Identifier
1225576267
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6586513-4405 Issued in UT
Practice address
690 E. Main St.
Price, UT 84501
Phone
(435) 637-2358
Fax
(435) 637-2131
NPI assigned
Feb 10, 2017
Last updated
Apr 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6586513-4405 UT Primary
Registered Nurse 163W00000X 6586513-3102 UT

Addresses

Primary practice location

690 E. Main St.
Price, UT 84501

Mailing address

P.O. Box 867
Price, UT 84501-0867
Phone (435) 637-7200

Other practice location 1

575 East 100 South
Price, UT 84501
Phone (435) 637-2358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20170823001880 UT Practitioner - Nurse Practitioner 1052683240 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
Group practices

Practice addresses (Care Compare)

575 E 100
Price, UT 84501-3102
Phone (435) 637-2358

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Four Corners Community Behavioral Health Inc CurrentSince Aug 11, 2020 Accepting new patients
Four Corners Community Behavioral Health, Inc. CurrentSince Aug 11, 2020 Accepting new patients
Shane D Gagon MD, PC CurrentSince Jul 17, 2017 Accepting new patients

Locations

377 N Fairgrounds Rd
Price, UT 84501
Phone (435) 613-2200

575 E 1st S
Price, UT 84501
Phone (435) 637-2358

690 E Main St
Price, UT 84501
Phone (435) 637-2358

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1225576267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 867",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845010867",
            "telephone_number": "435-637-7200",
            "fax_number": "435-637-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 E. MAIN ST.",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "84501",
            "telephone_number": "435-637-2358",
            "fax_number": "435-637-2131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 East 100 South",
            "address_purpose": "LOCATION",
            "city": "Price",
            "state": "UT",
            "postal_code": "84501",
            "country_code": "US",
            "telephone_number": "435-637-2358",
            "fax_number": "435-637-9141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOYES",
        "first_name": "TIFFANY",
        "middle_name": "BROOK",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-10",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "6586513-4405",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "6586513-3102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Price, UT

Sources for this page

Verify at the official NPI Registry.