Individual provider Active NPI

Tiffany Leanne Moppin, NP

  • Nurse Practitioner
  • Richmond, TX
National Provider Identifier
1336620541
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1147550 Issued in TX
Practice address
10310 W Grand Pkwy S Ste 203
Richmond, TX 77406-5924
Phone
(832) 220-2338
NPI assigned
Aug 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 869506 TX
Nurse Practitioner 363L00000X 1147550 TX Primary

Addresses

Primary practice location

10310 W Grand Pkwy S Ste 203
Richmond, TX 77406-5924

Mailing address

7935 Quade CT
Richmond, TX 77469-2332
Phone (913) 515-3988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
869506TXMDHome Health Registered Nurse
1147550TXMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1535155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1336620541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7935 QUADE CT",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774692332",
            "telephone_number": "913-515-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10310 W GRAND PKWY S STE 203",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774065924",
            "telephone_number": "832-220-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOPPIN",
        "first_name": "TIFFANY",
        "middle_name": "LEANNE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-25",
        "last_updated": "2024-01-03",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "869506",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1147550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.