Active NPI
Tiffeny Jean Treece, APRN
- Family Nurse Practitioner
- Pineville, KY
National Provider Identifier
1295760718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3004305
- 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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Log Mountain Family Healthcare LLC | Family | Current | Accepting new patients |
Locations
101 MTN VW CMNS
Pineville, KY 40977
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3004305 | KY | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78016086 | Medicaid | KY |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.