Individual provider Active NPI

Tiffeny Jean Treece, APRN

  • Family Nurse Practitioner
  • Pineville, KY
National Provider Identifier
1295760718
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3004305 Issued in KY
Practice address
101 Mountain View CMNS
Pineville, KY 40977-8708
Phone
(606) 337-8887
Fax
(606) 337-8839
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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 KY
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
I20060410000585 KY Practitioner - Nurse Practitioner 6507875119 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Log Mountain Family Healthcare LLC Family CurrentSince Aug 1, 2006 Accepting new patients

Locations

101 MTN VW CMNS
Pineville, KY 40977

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3004305 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

101 Mountain View CMNS
Pineville, KY 40977-8708

Mailing address

PO Box 13
Pineville, KY 40977-0013
Phone (606) 337-8887

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
78016086MedicaidKY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 8, 2013.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1295760718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409770013",
            "telephone_number": "606-337-8887",
            "fax_number": "606-337-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MOUNTAIN VIEW CMNS",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409778708",
            "telephone_number": "606-337-8887",
            "fax_number": "606-337-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREECE",
        "first_name": "TIFFENY",
        "middle_name": "JEAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3004305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78016086",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, KY

Sources for this page

Verify at the official NPI Registry.