Individual provider Active NPI

Nicole Langlois Tiefel, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Stamford, CT
National Provider Identifier
1326438599
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
123051 Issued in AK
Practice address
1180 Newfield Ave
Stamford, CT 06905-1409
Phone
(314) 888-5233
NPI assigned
Jan 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1256167 VA
Family Nurse Practitioner 363LF0000X 24172342 VA
Family Nurse Practitioner 363LF0000X 123051 AK Primary

Addresses

Primary practice location

1180 Newfield Ave
Stamford, CT 06905-1409

Mailing address

5248 Olde Towne Rd Ste 10
Williamsburg, VA 23188-1986

Other practice location 1

19305 Ruby Dr
Leesburg, VA 20176-6508
Phone (866) 389-2727

Other names 1

  • Nicole Langlois Tiefel Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, TX, VA, DE, MA, PA, WV, FL, NY, NJ, NC, DC12 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 12

Enrollment IDStateProvider typePAC IDDetails
I20170922002955 AK Practitioner - Nurse Practitioner 8123392586
I20180622000061 TX Practitioner - Nurse Practitioner 8123392586 Reassigns benefits to 1 organization
I20210602000250 VA Practitioner - Nurse Practitioner 8123392586 Reassigns benefits to 4 organizations
I20221110002351 DE Practitioner - Nurse Practitioner 8123392586 Reassigns benefits to 2 organizations
I20221121002844 MA Practitioner - Nurse Practitioner 8123392586 Reassigns benefits to 2 organizations
I20221209001466 PA Practitioner - Nurse Practitioner 8123392586 Reassigns benefits to 2 organizations
I20230110000235 WV Practitioner - Nurse Practitioner 8123392586 Reassigns benefits to 1 organization
I20230201003445 FL Practitioner - Nurse Practitioner 8123392586 Reassigns benefits to 3 organizations
I20240701002032 NY Practitioner - Nurse Practitioner 8123392586
I20240708000670 NJ Practitioner - Nurse Practitioner 8123392586 Reassigns benefits to 1 organization
I20240826004350 NC Practitioner - Nurse Practitioner 8123392586 Reassigns benefits to 1 organization
I20241010000386 DC Practitioner - Nurse Practitioner 8123392586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
My Catholic Doctor PLLCGroup PAC ID 7214367101, 25 clinicians

Practice addresses (Care Compare)

9304 Ashwood CT
Toano, VA 23168-9456
Phone (314) 888-5233

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1256167VAMDFamily Nurse Practitioner
24172342VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress, Inc - Delaware CurrentSince Oct 27, 2022 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Jul 19, 2021 Accepting new patients
Dwic of Tampa Bay, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Medexpress, Inc - Delaware Current Accepting new patients
Dwic of Tampa Bay, Inc. Current Accepting new patients
Medexpress Urgent Care, PC - Massachusetts CurrentSince Oct 27, 2022 Accepting new patients
Visavis Health Care Medical Group of de PA CurrentSince May 1, 2024 Accepting new patients
Visavis Health Care Medical Group of WV PLLC CurrentSince May 1, 2024 Accepting new patients
Medexpress Urgent Care, PC - Virginia CurrentSince Nov 29, 2022 Accepting new patients
Visavis Health Care Medical Group of NC PLLC CurrentSince May 1, 2024 Accepting new patients
Dwic of Tampa Bay, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Urgent Care, PC - Pennsylvania CurrentSince Nov 29, 2022 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Jan 1, 2023 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Jun 5, 2018 Accepting new patients
Visavis Health Care Medical Group of FL, PLLC CurrentSince May 1, 2024 Accepting new patients
Medexpress Urgent Care, PC - Massachusetts CurrentSince Oct 27, 2022 Accepting new patients
Minuteclinic Diagnostic of Virginia LLC Family CurrentSince Sep 12, 2024 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Nov 29, 2022 Accepting new patients
Alaska Center for Ear Nose and Throat, Inc. CurrentSince Aug 1, 2017 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Jul 19, 2021 Accepting new patients
Medexpress, Inc - Delaware CurrentSince Oct 27, 2022 Accepting new patients
Medexpress Urgent Care, PC - Virginia CurrentSince Nov 29, 2022 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Jan 1, 2023 Accepting new patients
Visavis Health Care Medical Group of Pennsylvania PLLC CurrentSince May 1, 2024 Accepting new patients
Visavis Health Care Medical Group of Ma PLLC CurrentSince May 20, 2024 Accepting new patients
Visavis Health Care Medical Group of NJ LLC CurrentSince May 1, 2024 Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients
My Catholic Doctor Medical Group PC Past Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Locations (25 of 28)

3841 Piper St
Ste T230
Anchorage, AK 99508
Phone (907) 279-8800

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

715 E King St
Seaford, DE 19973
Phone (302) 536-5628

2722 Concord Pike
Wilmington, DE 19803
Phone (302) 477-1406

7593 Boynton Beach Blvd
Ste 190
Boynton Beach, FL 33437
Phone (561) 572-3200

8849 State Road 52
Hudson, FL 34667
Phone (727) 863-7150

1120 Homestead Rd N
Lehigh Acres, FL 33936
Phone (239) 303-5020

2810 W Mlk Blvd
Tampa, FL 33607
Phone (813) 289-6637

10150 Highland Manor Dr
Ste 300
Tampa, FL 33610
Phone (813) 558-6600

1505 Memorial Dr
Chicopee, MA 01020
Phone (413) 331-4336

15 Kirkbride Dr
Danvers, MA 01923
Phone (978) 558-4120

430 Cooley St
Springfield, MA 01128
Phone (413) 295-4144

228 Smith Chapel Rd
Mount Olive, NC 28365
Phone (919) 658-9522

1481 McDonald Ave
Fl 2
Brooklyn, NY 11230

831 Bedford Ave
Brooklyn, NY 11205

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

30 West Ave
Wayne, PA 19087
Phone (610) 688-3235

7300 State Highway 121
Ste 300374
McKinney, TX 75070

1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687

19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918

827 Diligence Dr
Ste 100
Newport News, VA 23606

729 Thimble Shoals Blvd
Newport News, VA 23606
Phone (757) 874-1077

860 Omni Blvd
Ste 105
Newport News, VA 23606
Phone (757) 873-0952

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

Organizations & group practices 30

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.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1326438599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5248 OLDE TOWNE RD STE 10",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231881986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 NEWFIELD AVE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051409",
            "telephone_number": "314-888-5233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19305 Ruby Dr",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201766508",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIEFEL",
        "first_name": "NICOLE",
        "middle_name": "LANGLOIS",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-27",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "1256167",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "24172342",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "123051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "TIEFEL",
            "middle_name": "LANGLOIS",
            "credential": "NP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.