Individual provider Active NPI

Tiffany Aeling, PA

  • Physician Assistant
  • Huntington, WV
National Provider Identifier
1275017402
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
TC755 Issued in KY
Practice address
3 Stonecrest Dr
Huntington, WV 25701-9392
Phone
(304) 522-6388
Fax
(304) 522-8040
NPI assigned
Sep 24, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 7

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20200617003371 WV Practitioner - Physician Assistant 0143572214 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
TC755KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Systems, Inc. CurrentSince Jun 22, 2020 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems, Inc. CurrentSince Jun 22, 2020 Accepting new patients
Valley Health Systems Inc Physician Assistant CurrentSince Jul 30, 2020 Accepting new patients
Valley Health Systems Inc Past Accepting new patients

Locations

3 Stonecrest Dr
Huntington, WV 25701
Phone (304) 522-6388

2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396

Interoperability endpoints

  • Direct secure messaging: taeling20448@valleyhealthsystems.direct-ci.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TC755 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

3 Stonecrest Dr
Huntington, WV 25701-9392

Mailing address

2585 3Rd Ave
Huntington, WV 25703-1642
Phone (304) 697-1396

Other practice location 1

2585 3rd Ave
Huntington, WV 25703-1642
Phone (304) 697-1396

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 12, 2020.

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1275017402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 3RD AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257031642",
            "telephone_number": "304-697-1396",
            "fax_number": "304-697-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 STONECREST DR",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257019392",
            "telephone_number": "304-522-6388",
            "fax_number": "304-522-8040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2585 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257031642",
            "country_code": "US",
            "telephone_number": "304-697-1396",
            "fax_number": "304-697-2086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AELING",
        "first_name": "TIFFANY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "TC755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.