Individual provider Active NPI

Tiffany Miller, FNP-C

  • Family Nurse Practitioner
  • Brownstown, MI
National Provider Identifier
1235938820
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704345652 Issued in MI
Practice address
17439 Michigan Heights Dr
Brownstown, MI 48174-5911
Phone
(734) 516-7744
NPI assigned
Mar 7, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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 4704345652 MI Primary

Addresses

Primary practice location

17439 Michigan Heights Dr
Brownstown, MI 48174-5911

Mailing address

17439 Michigan Heights Dr
Brownstown, MI 48174-5911
Phone (734) 516-7744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250708000403 MI Practitioner - Nurse Practitioner 5395259949 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe Family Care PLLC CurrentSince May 25, 2025 Accepting new patients

Locations

331 Stewart Rd
Monroe, MI 48162
Phone (734) 384-1660

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.

NPI Registry JSON

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1235938820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17439 MICHIGAN HEIGHTS DR",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481745911",
            "telephone_number": "734-516-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17439 MICHIGAN HEIGHTS DR",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481745911",
            "telephone_number": "734-516-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TIFFANY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704345652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownstown, MI

Sources for this page

Verify at the official NPI Registry.