Chakun Tiffany McDaniel, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5017016 Issued in NC

Practice address

3050 Riverwood Pkwy Ste B
Gastonia, NC 28056-6002

Phone

(704) 874-9005

Fax

(704) 874-9001

NPI assigned

Nov 16, 2018

Last updated

Nov 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, NC2 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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gaston Family Health Services IncGroup PAC ID 5496733925, 98 clinicians

Practice addresses (Care Compare)

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.

• Gaston Family Health Services, Inc.

  dba Kintegra Family Medicine - Hudson

  • Federally Qualified Health Center (FQHC)
  • Gastonia, NC
  • NPI 1215932215
  Medicare reassignment Care Compare group NPD
• Advance Behavioral Medicine. LLC

  • Psychiatry Physician
  • Rock Hill, SC
  • NPI 1770542540
  Medicare reassignment NPD
• Gaston Family Health Services, Inc

  dba Kintegra Family Medicine - Xray Dr

  • Federally Qualified Health Center (FQHC)
  • Gastonia, NC
  • NPI 1306644315
  NPD
• Gaston Family Health Services, Inc.

  dba Kintegra at North Newton Elementary

  • Federally Qualified Health Center (FQHC)
  • Newton, NC
  • NPI 1023598570
  NPD

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1316416555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 2ND AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524358",
            "telephone_number": "704-874-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 RIVERWOOD PKWY STE B",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280566002",
            "telephone_number": "704-874-9005",
            "fax_number": "704-874-9001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 S Oakland St",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280524312",
            "country_code": "US",
            "telephone_number": "704-874-9005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 Oakland Ave",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297303531",
            "country_code": "US",
            "telephone_number": "036-758-2278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 E 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280524317",
            "country_code": "US",
            "telephone_number": "704-874-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "CHAKUN",
        "middle_name": "TIFFANY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-16",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "22402",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5017016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sue A McCraw, RN,BSN
• Jennie Lee McCrillis
• Rebecca McCrossan, CRNP
• Bobby Kenneth McCullen Jr., M.D.
• Raeshelle McCurty, LPN
• Cydcherease McDaniel, LCSW
• Isabella McDonald
• Lakisha Lee McDonald, DNP
• Jasmine McDowell, RN
• Desiree' McDuffie, PTA

• Nurse Practitioner in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.