Tiffany Ann Spears

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN.CNP.021585 Issued in OH

Practice address

717 3Rd Ave
Chesapeake, OH 45619-1074

Phone

(740) 867-6687

NPI assigned

Oct 24, 2011

Last updated

Apr 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Tiffany Ann Spears Other name

Medicare fee-for-service enrollment

Enrolled in OH, WV2 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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ironton and Lawrence County Area Community Action OrganizationGroup PAC ID 8820902497, shared by 8 NPIs, 17 clinicians

St. Mary's Himg, LLCGroup PAC ID 8729406459, 80 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary's Home Health Service Home health agency, Proctorville, OH, CCN 368269
• St Marys Medical Center Hospital, Huntington, WV, CCN 510007
• Cabell Huntington Hospital, Inc Hospital, Huntington, WV, CCN 510055

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St. Mary's Himg, LLC

  • Internal Medicine Physician
  • Huntington, WV
  • NPI 1184233454
  Medicare reassignment Care Compare group NPD
• Ironton & Lawrence County Area Community Action Organization

  dba Ironton Health Care Campus

  • Federally Qualified Health Center (FQHC)
  • Ironton, OH
  • NPI 1093022287
  Medicare reassignment NPD
• Ironton & Lawrence County Area Community Action Organization

  dba Chesapeake Family Medical Center

  • Federally Qualified Health Center (FQHC)
  • Chesapeake, OH
  • NPI 1215014113
  Medicare reassignment NPD
• Ironton & Lawrence County Area Community Action Organization

  dba Aid Family Medical Center

  • Federally Qualified Health Center (FQHC)
  • Kitts Hill, OH
  • NPI 1770839276
  Medicare reassignment NPD
• Ironton & Lawrence County Area Community Action Organization

  dba Proctorville Health Care Center

  • Federally Qualified Health Center (FQHC)
  • Proctorville, OH
  • NPI 1912254574
  Medicare reassignment NPD
• Ironton & Lawrence County Area Community Action Organization

  dba One Stop Family Medical Center

  • Primary Care Clinic/Center
  • Ironton, OH
  • NPI 1114409901
  NPD
• Ironton & Lawrence County Area Community Action Organization

  dba Nancy's Place

  • Primary Care Clinic/Center
  • Ironton, OH
  • NPI 1306461694
  NPD
• St Marys Medical Center, Inc.

  dba St. Mary's Medical Center

  • Internal Medicine Physician
  • Huntington, WV
  • NPI 1104681485
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Mary's Medical Center Home Health Services, LLC

  dba St. Mary's Home Health Service

  • Home Health Agency
  • Proctorville, OH
  • NPI 1013109560
  Care Compare affiliation
• Cabell Huntington Hospital Inc

  dba Cabell Huntington Hospital

  • General Acute Care Hospital
  • Huntington, WV
  • NPI 1073518007
  Care Compare affiliation
• St. Mary's Medical Center Inc

  • General Acute Care Hospital
  • Huntington, WV
  • NPI 1164492195
  Care Compare affiliation

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1245516251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N 5TH ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381578",
            "telephone_number": "740-532-4858",
            "fax_number": "740-532-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 3RD AVE",
            "city": "CHESAPEAKE",
            "state": "OH",
            "postal_code": "456191074",
            "telephone_number": "740-867-6687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3075 US Route 60 Ste A105",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257058859",
            "country_code": "US",
            "telephone_number": "304-528-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPEARS",
        "first_name": "TIFFANY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-24",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.369891",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SD",
            "license": "R040765",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "CP000667",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.021585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "SPEARS",
            "middle_name": "ANN",
            "credential": "CNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mary Ellen Smith, RN
• Misty A Smith, CDCA
• Jessica Snively
• Molly E Snowden, BSW/LSW
• Southern Hope Recovery Center LLC
• Kayla Lynn Spradlin, APRN
• Heather Spradling
• April Stalnaker-Pack
• Christopher Stanley
• Adam Ray Stapleton

• Nurse Practitioner in Chesapeake, OH
• Providers in Chesapeake, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.