Tiffany Camille Sullivan, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11028986 Issued in FL

Practice address

503 Eichenfeld Dr Ste 104
Brandon, FL 33511-5984

Phone

(813) 708-6107

NPI assigned

Sep 21, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Tiffany Barone Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Everyone Urgent Care LLCGroup PAC ID 1355842097, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tiffany.sullivan@767546621034500.direct.elationemr.com
• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
• Direct secure messaging: tbarone289294@direct.tgh.org

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.

• Everyone Urgent Care LLC

  • Urgent Care Clinic/Center
  • Parrish, FL
  • NPI 1548081995
  Care Compare group
• Quality Urgent Care

  • Urgent Care Clinic/Center
  • Riverview, FL
  • NPI 1598545063
  NPD
• Synergic Healthcare Solutions LLC

  • Urgent Care Clinic/Center
  • Apollo Beach, FL
  • NPI 1003575390
  NPD
• Synergic Healthcare Solutions LLC

  • Urgent Care Clinic/Center
  • Tampa, FL
  • NPI 1063718013
  NPD
• Synergic Healthcare Solutions LLC

  • Urgent Care Clinic/Center
  • Punta Gorda, FL
  • NPI 1174336119
  NPD
• Synergic Healthcare Solutions LLC

  • General Practice Physician
  • Wesley Chapel, FL
  • NPI 1194198382
  NPD
• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD
• Unique Healthcare Systems LLC

  • Urgent Care Clinic/Center
  • Pinellas Park, FL
  • NPI 1831567627
  NPD
• Unique Management Group

  • Primary Care Clinic/Center
  • Pinellas Park, FL
  • NPI 1528622586
  NPD (past)

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1235918012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 15TH AVE NW",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335703507",
            "telephone_number": "813-508-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 EICHENFELD DR STE 104",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115984",
            "telephone_number": "813-708-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "TIFFANY",
        "middle_name": "CAMILLE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "FL",
            "license": "9340933",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11028986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "BARONE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Holly Ann Suesse
• Chelsea Suggs, PA-C
• Robert B Sujansky, ED.D
• Sullivan Rehab Inc
• Marvin Randall Sullivan, PT
• Suncoast Breast Restoration PLLC
• Suncoast Community Health Center Inc
• Suncoast Community Health Centers Inc
• Suncoast Community Health Centers, Inc
• Suncoast Community Health Centers, Inc

• Family Nurse Practitioner in Brandon, FL
• Providers in Brandon, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.