Emmanual Tiffany Northington, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11004053 Issued in FL

Practice address

15 Council Moore Rd
Crawfordville, FL 32327-3117

Phone

(850) 926-7105

NPI assigned

Jul 30, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mrs. Emmanual Tiffany Northington Former name

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tallahassee Memorial Healthcare Inc

  • General Acute Care Hospital
  • Tallahassee, FL
  • NPI 1437177664
  Medicare reassignment NPD
• Tallahassee Memorial Healthcare Inc

  • Rural Health Clinic/Center
  • Crawfordville, FL
  • NPI 1285683045

  Family Medicine

  NPD
• Tallahassee Memorial Healthcare Inc

  dba TMH Physician Partners

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1366293102
  NPD
• Wakulla Urgent Care & Diagnostic Center PLC

  • General Practice Physician
  • Crawfordville, FL
  • NPI 1215509344
  NPD

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1306490115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 COUNCIL MOORE RD",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323273117",
            "telephone_number": "850-926-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 COUNCIL MOORE RD",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323273117",
            "telephone_number": "850-926-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTHINGTON",
        "first_name": "EMMANUAL",
        "middle_name": "TIFFANY",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11004053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "APRN11004053",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "RN9243894",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMANUAL",
            "last_name": "NORTHINGTON",
            "middle_name": "TIFFANY",
            "prefix": "MRS.",
            "credential": "EMMANUAL  GEORGE RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Frank Moynahan, M.D.
• Shelia Murray-Dickens
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• NHC-Op LP
• North Florida Respiratory Services
• Nurtuous Home Companion Services, LLC
• Nurtuous Home Companion Services, LLC
• Oluropo Ogunti, APRN
• One Healing Hand LLC
• Angelena Paarlberg, LCSW

• Family Nurse Practitioner in Crawfordville, FL
• Providers in Crawfordville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.

Verify at the official NPI Registry.