Individual provider Active NPI

Tiffany Nicole Fleeton, APRN

  • Family Nurse Practitioner
  • Pittsburg, KS
National Provider Identifier
1376356295
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-84023-011 Issued in KS
Practice address
1801 S Broadway St
Pittsburg, KS 66762-5838
Phone
(620) 235-4452
NPI assigned
Jan 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2019023968 MO
Family Nurse Practitioner 363LF0000X 53-84023-011 KS Primary

Addresses

Primary practice location

1801 S Broadway St
Pittsburg, KS 66762-5838

Mailing address

PO Box 1832
Pittsburg, KS 66762-1832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, OK2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20250213003200 KS Practitioner - Nurse Practitioner 4385174721 Reassigns benefits to 1 organization
I20260506003458 OK Practitioner - Nurse Practitioner 4385174721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1011 S Mount Carmel PL
Pittsburg, KS 66762-6604
Phone (620) 670-6710

106 NW Veterans Blvd
Miami, OK 74354-1818
Phone (918) 238-2410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2019023968MOMDRegistered Nurse
53-84023-011KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Southeast Kansas Inc Current Accepting new patients
Community Health Center of Southeast Kansas, Inc. CurrentSince Feb 24, 2025 Accepting new patients
Community Health Center of Southeast Kansas Inc CurrentSince Feb 24, 2025 Accepting new patients
Community Health Center of Southeast Kansas, Inc Past Accepting new patients

Locations

601 E Washington St
Arma, KS 66712
Phone (620) 347-4033

2990 Military Ave
Baxter Springs, KS 66713
Phone (620) 856-2900

100 N Military Ave
Baxter Springs, KS 66713

801 W 8th St
Coffeyville, KS 67337
Phone (620) 251-4300

1110 W 8th St
Coffeyville, KS 67337
Phone (620) 252-1798

124 S Highschool Ave
Columbus, KS 66725

101 W Sycamore St
Columbus, KS 66725
Phone (620) 429-2101

2322 S Main St
Fort Scott, KS 66701
Phone (620) 223-0135

312 S Maple St
Garnett, KS 66032
Phone (785) 448-6988

3354 Highway 160
Independence, KS 67301
Phone (620) 331-1260

2051 N State St
Iola, KS 66749
Phone (620) 380-6400

203 N Kentucky St
Iola, KS 66749

1017 E Market St
Lacygne, KS 66040
Phone (913) 757-4575

302 N 1st St
Mound City, KS 66056
Phone (913) 795-2203

2100 Commerce Dr
Parsons, KS 67357
Phone (620) 421-2159

3011 N Michigan St
Pittsburg, KS 66762
Phone (620) 231-1960

1978 E 4th St
Pittsburg, KS 66762
Phone (620) 670-3896

1011 S Mount Carmel Pl
Pittsburg, KS 66762
Phone (620) 231-6160

924 N Broadway St
Pittsburg, KS 66762
Phone (620) 231-6788

11155 Tucker Rd
Pleasanton, KS 66075
Phone (913) 347-8110

1223 Swan Dr
Bartlesville, OK 74006
Phone (918) 214-8081

106 NW Veterans Blvd
Miami, OK 74354
Phone (918) 238-2410

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1376356295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1832",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667621832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S BROADWAY ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667625838",
            "telephone_number": "620-235-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEETON",
        "first_name": "TIFFANY",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2019023968",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-84023-011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, KS

Sources for this page

Verify at the official NPI Registry.