Individual provider Active NPI

Tiffany Reshea Riner, FNP-C

  • Family Nurse Practitioner
  • Killen, AL
National Provider Identifier
1346698503
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-117484 Issued in AL
Practice address
230 J C Mauldin Hwy
Killen, AL 35645-9145
Phone
(256) 272-5328
NPI assigned
May 28, 2016
Last updated
Mar 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-117484 AL Primary

Addresses

Primary practice location

230 J C Mauldin Hwy
Killen, AL 35645-9145

Mailing address

2005 County Road 25
Killen, AL 35645-6229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20170628002490 AL Practitioner - Nurse Practitioner 1052698800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Killen Urgent Care, Inc.Group PAC ID 2860761202, 2 clinicians

Practice addresses (Care Compare)

230 J C Mauldin Hwy
Killen, AL 35645-9145
Phone (256) 272-5328

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-117484ALMDFamily Nurse Practitioner
901883MSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Killen Urgent Care, Inc. CurrentSince Jun 1, 2017 Accepting new patients

Locations

230 J C Mauldin Hwy
Killen, AL 35645
Phone (256) 272-5328

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1464393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1346698503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 COUNTY ROAD 25",
            "city": "KILLEN",
            "state": "AL",
            "postal_code": "356456229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 J C MAULDIN HWY",
            "city": "KILLEN",
            "state": "AL",
            "postal_code": "356459145",
            "telephone_number": "256-272-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINER",
        "first_name": "TIFFANY",
        "middle_name": "RESHEA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-28",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-117484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killen, AL

Sources for this page

Verify at the official NPI Registry.