Individual provider Active NPI

Tiffany A Adams, APRN

  • Family Nurse Practitioner
  • Auxier, KY
National Provider Identifier
1437638616
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012573 Issued in KY
Practice address
23 Willow Dr
Auxier, KY 41602-9259
Phone
(606) 886-8997
NPI assigned
Aug 9, 2018
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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 3012573 KY Primary

Addresses

Primary practice location

23 Willow Dr
Auxier, KY 41602-9259

Mailing address

1709 Ky Route 321 Ste 3
Prestonsburg, KY 41653-9097
Phone (606) 886-8546

Other practice location 1

940 Parkway Dr
Salyersville, KY 41465-9251
Phone (063) 495-1266

Other practice location 2

214 Beriah Blvd
Salyersville, KY 41465-7509
Phone (606) 349-5126

Other practice location 3

420 Tom Fazier Way
Salyersville, KY 41465
Phone (606) 349-5126

Other practice location 4

452 Tom Frazier Way
Salyersville, KY 41465-7704
Phone (606) 349-5126

Other identifiers 1

IdentifierTypeStateIssuer
7100557510MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20181016003235 KY Practitioner - Nurse Practitioner 0840542007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Big Sandy Health Care, IncGroup PAC ID 1951211218, 51 clinicians

Practice addresses (Care Compare)

23 Willow Dr
Auxier, KY 41602-9259
Phone (606) 886-8997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3012573KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Big Sandy Health Care, Inc Current Accepting new patients
Big Sandy Health Care Inc CurrentSince Feb 13, 2023 Accepting new patients
Big Sandy Health Care Inc CurrentSince Feb 13, 2023 Accepting new patients
Big Sandy Health Care Inc Past Accepting new patients
Big Sandy Health Care Inc Past Accepting new patients

Locations

23 Willow Dr
Auxier, KY 41602
Phone (606) 886-8997

7617 Ky Route 979
Grethel, KY 41631
Phone (606) 587-2200

7629 Ky Route 979
Grethel, KY 41631
Phone (606) 587-2200

6500 Highway 645
Ste 110
Inez, KY 41224
Phone (606) 298-3412

178 Douglas Pkwy
Pikeville, KY 41501
Phone (606) 639-3135

50 Weddington Branch Rd
Ste B
Pikeville, KY 41501
Phone (606) 432-2172

1709 Ky Route 321
Ste 3
Prestonsburg, KY 41653
Phone (606) 886-8546

452 Tom Frazier Way
Salyersville, KY 41465
Phone (606) 349-5126

940 Parkway Dr
Salyersville, KY 41465
Phone (606) 298-3412

Interoperability endpoints

  • Direct secure messaging: ward.tiffany.003.0170011@bshc.meditab.direct-ci.com
  • Direct secure messaging: ward.tiffany.004.0170011@bshc.meditab.direct-ci.com
  • Direct secure messaging: ward.tiffany.006.0170011@bshc.meditab.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1437638616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 KY ROUTE 321 STE 3",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416539097",
            "telephone_number": "606-886-8546",
            "fax_number": "606-886-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WILLOW DR",
            "city": "AUXIER",
            "state": "KY",
            "postal_code": "416029259",
            "telephone_number": "606-886-8997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 Parkway Dr",
            "address_purpose": "LOCATION",
            "city": "Salyersville",
            "state": "KY",
            "postal_code": "414659251",
            "country_code": "US",
            "telephone_number": "063-495-1266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "214 Beriah Blvd",
            "address_purpose": "LOCATION",
            "city": "Salyersville",
            "state": "KY",
            "postal_code": "414657509",
            "country_code": "US",
            "telephone_number": "606-349-5126",
            "fax_number": "606-349-5123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 Tom Fazier Way",
            "address_purpose": "LOCATION",
            "city": "Salyersville",
            "state": "KY",
            "postal_code": "41465",
            "country_code": "US",
            "telephone_number": "606-349-5126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "452 Tom Frazier Way",
            "address_purpose": "LOCATION",
            "city": "Salyersville",
            "state": "KY",
            "postal_code": "414657704",
            "country_code": "US",
            "telephone_number": "606-349-5126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "TIFFANY",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100557510",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auxier, KY

Sources for this page

Verify at the official NPI Registry.