Tiffany Gladys Dirickson-Ford, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP500016115 Issued in DC

Practice address

1050 Connecticut Ave NW Ste 500
Washington, DC 20036-5304

Phone

(202) 596-8891

Fax

(833) 941-2357

NPI assigned

Mar 17, 2020

Last updated

Mar 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Tiffany Ford Professional name

Medicare fee-for-service enrollment

Enrolled in MD, DC2 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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Revolution Medicine Health and Fitness PLLCGroup PAC ID 7911339890, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23388/brand/1/csg/1/fhir/r4
• Direct secure messaging: tiffany.dirickson-ford.1@23388.direct.athenahealth.com
• Direct secure messaging: tiffany.dirickson-ford.1@27109.direct.athenahealth.com
• Direct secure messaging: tiffany.dirickson-ford.1@30114.direct.athenahealth.com

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.

• Revolution Medicine Health & Fitness PLLC

  • Family Medicine Physician
  • Washington, DC
  • NPI 1245887959

  MD

  Medicare reassignment Care Compare group NPD
• Our Family Healthcare

  • Primary Care Nurse Practitioner
  • Dundalk, MD
  • NPI 1740937366
  Medicare reassignment NPD Authorized official
• A Clean Start LLC

  dba A Clean Start Urgent Care

  • General Practice Physician
  • Pikesville, MD
  • NPI 1194295881

  Nurse Practitioner

  Medicare reassignment NPD
• Golden Days, LLC

  dba Golden Days

  • Family Nurse Practitioner
  • Bowie, MD
  • NPI 1326426958
  NPD (past)

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1306472717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 CONNECTICUT AVE NW STE 500",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365304",
            "telephone_number": "202-596-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 CONNECTICUT AVE NW STE 500",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365304",
            "telephone_number": "202-596-8891",
            "fax_number": "833-941-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRICKSON-FORD",
        "first_name": "TIFFANY",
        "middle_name": "GLADYS",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "NP500016115",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "F0819091",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "FORD",
            "credential": "CRNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shannon Michele Dippold, MPT
• Tigist Dirare
• Direct Care Home Health Services LLC
• Direct Care Pediatrics LLC
• Chinormso Chioma Diribe, MD
• Bryan Dirks
• Michael Dirks, M.D.
• Caroline Kelley Dirosato, PA-C
• Marc Disabella, D.O.
• Kylie Marie Disch Navarro, MD

• Nurse Practitioner in Washington, DC
• Providers in Washington, DC by specialty
• Nurse Practitioner in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.