Active NPI
Tiffany A Dorton, NP
- Nurse Practitioner
- Oshkosh, WI
National Provider Identifier
1407279151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 9853-33
- Practice address
- 855 N Westhaven Dr
Oshkosh, WI 54904-7668 - Phone
- (920) 303-8700
- NPI assigned
- Jan 31, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 196454-30 | WI | |
| Nurse Practitioner | 363L00000X | 9853-33 | WI | Primary |
Addresses
Primary practice location
855 N Westhaven Dr
Oshkosh, WI 54904-7668
Mailing address
3301 W Forest Home Ave
Milwaukee, WI 53215-2843
Phone (414) 389-2377
Other practice location 1
3301 W Forest Home Ave
Milwaukee, WI 53215-2843
Phone (414) 389-2377
Other practice location 2
W7530 Molly Marie Ct
Greenville, WI 54942-8554
Phone (920) 428-0588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100098282 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | tdorton109707@direct.myadvocateaurora.org | Direct |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 196454-30 | WI | MD | Registered Nurse |
Interoperability endpoints
- tdorton109707@direct.myadvocateaurora.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638316800000",
"number": "1407279151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 W FOREST HOME AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532152843",
"telephone_number": "414-389-2377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 N WESTHAVEN DR",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549047668",
"telephone_number": "920-303-8700"
}
],
"practiceLocations": [
{
"address_1": "3301 W Forest Home Ave",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532152843",
"country_code": "US",
"telephone_number": "414-389-2377",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "W7530 Molly Marie Ct",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "WI",
"postal_code": "549428554",
"country_code": "US",
"telephone_number": "920-428-0588",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DORTON",
"first_name": "TIFFANY",
"middle_name": "A",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-31",
"last_updated": "2021-12-01",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "196454-30",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "9853-33",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100098282",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "855 N Westhaven Dr",
"city": "Oshkosh",
"state": "WI",
"country_code": "US",
"postal_code": "549047668",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tdorton109707@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "855 N Westhaven Dr",
"city": "Oshkosh",
"state": "WI",
"country_code": "US",
"postal_code": "549047668",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.