Individual provider Active NPI

Tiffany M Gregory, FNP

  • Family Nurse Practitioner
  • Lakewood Ranch, FL
National Provider Identifier
1356856116
Registry record updated Dec 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9410037 Issued in FL
Practice address
6731 Professional Pkwy W
Lakewood Ranch, FL 34240-8490
Phone
(941) 351-2020
NPI assigned
Dec 2, 2017
Last updated
Dec 2, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2017

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 9410037 FL Primary

Addresses

Primary practice location

6731 Professional Pkwy W
Lakewood Ranch, FL 34240-8490

Mailing address

9054 Lake Chase Island Way
Tampa, FL 33626-1942

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180423001351 FL Practitioner - Nurse Practitioner 3779846969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Care Hospitalists PLGroup PAC ID 5092753632, 66 clinicians

Practice addresses (Care Compare)

4315 Highland Park Blvd
Suite D
Lakeland, FL 33813-1639
Phone (863) 816-5884

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9410037FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Specialists Group CurrentSince Aug 25, 2025 Accepting new patients
Advanced Care Hospitalists PL CurrentSince Aug 15, 2021 Accepting new patients
Inpatient Specialists Group CurrentSince Aug 25, 2025 Accepting new patients
Optimal Function Chiropractic PastSince Aug 23, 2020 Accepting new patients

Locations

4315 Highland Park Blvd
Ste A
Lakeland, FL 33813
Phone (813) 651-1085

4315 Highland Park Blvd
Ste D
Lakeland, FL 33813
Phone (863) 816-5884

6500 38th Ave N
St Petersburg, FL 33710
Phone (727) 341-4870

203 N Marion St
Tampa, FL 33602
Phone (813) 474-9804

203 N Marion St
Fl 2
Tampa, FL 33602
Phone (813) 428-6904

Organizations & group practices 4

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": "1512172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512172800000",
    "number": "1356856116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9054 LAKE CHASE ISLAND WAY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6731 PROFESSIONAL PKWY W",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408490",
            "telephone_number": "941-351-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "TIFFANY",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-02",
        "last_updated": "2017-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9410037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

Verify at the official NPI Registry.