Tiffany Lynn Whitson, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Corbin, KY
NPI 1255909008 · NPPES record last updated Dec 13, 2021
Key facts
- NPI
- 1255909008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 3016266 (KY)
- Practice address
- 96 Future Dr
Corbin, KY 40701-8988 - Phone
- (606) 528-0305
- NPI assigned
- Jun 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Health Medical Group Inc
Practice addresses (Care Compare)
96 Future Dr
Corbin, KY 40701-8988
Phone (606) 528-0305
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210804004187 | KY | Practitioner - Nurse Practitioner | 5294139754 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3016266 | KY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current |
Accepting new patients | |
| Baptist Health Medical Group Inc | Single Specialty | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current |
Accepting new patients | |
| Baptist Health Medical Group Inc | Single Specialty | Current |
Accepting new patients |
Locations
96 Future Dr
Corbin, KY 40701
4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390
5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | 3016266 | KY | Yes |
Addresses
Primary practice location
96 Future Dr
Corbin, KY 40701-8988
Mailing address
5200 Commerce Crossings Dr FL 3
Louisville, KY 40229-2182
Phone (502) 253-4900
Other providers in Corbin, KY
- Whitley County, LLC
- Whitley Operations, LLC
- Whitley Wellness
- Dawn Rene Whitley-Hittel
- Daniel W Whitley
- David Casey Whittaker
- Wildflower Primary Care and Recovery
- Anna V Wilhoit
- Christy Wilkinson
- Alisa Williams
All providers in Corbin, KY · Psychiatric/Mental Health Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.