Active NPI
Tiffany M Gregory, FNP
- Family Nurse Practitioner
- Lakewood Ranch, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9410037
- Practice address
- 6731 Professional Pkwy W
Lakewood Ranch, FL 34240-8490 - Phone
- (941) 351-2020
- NPI assigned
- Dec 2, 2017
- Last updated
- Dec 2, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9410037 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Specialists Group | Current | Accepting new patients | |
| Advanced Care Hospitalists PL | Current | Accepting new patients | |
| Inpatient Specialists Group | Current | Accepting new patients | |
| Optimal Function Chiropractic | Past | 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.
-
- Hospitalist Physician
- Lakeland, FL
- NPI 1457389587
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1073008579
-
dba Continuity Care Speciliasts
- Internal Medicine Physician
- Tampa, FL
- NPI 1952108763
-
- Chiropractor
- Lakewood Ranch, FL
- NPI 1699387001
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lakeland Regional Medical Center
- General Acute Care Hospital
- Lakeland, FL
- NPI 1144228446
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2017; 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.