Individual provider Active NPI

Tiffany Tyeskie, FNP-C

  • Family Nurse Practitioner
  • Longview, TX
National Provider Identifier
1437803715
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1069617 Issued in TX
Practice address
220 N Fredonia St
Longview, TX 75601-7222
Phone
(903) 215-3149
Fax
(903) 367-0300
NPI assigned
Feb 7, 2022
Last updated
Feb 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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 1069617 TX Primary

Addresses

Primary practice location

220 N Fredonia St
Longview, TX 75601-7222

Mailing address

220 N Fredonia St
Longview, TX 75601-7222
Phone (903) 215-3149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA2 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
I20220324000041 TX Practitioner - Nurse Practitioner 4880089184 Reassigns benefits to 8 organizations
I20260415000642 LA Practitioner - Nurse Practitioner 4880089184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wound Care Associates LLCGroup PAC ID 0840314548, 117 clinicians
Wound Management Specialists LLCGroup PAC ID 5193056364, 157 clinicians
Pallicare, IncGroup PAC ID 8123429925, 85 clinicians
Ut East Texas Urgent Care Centers, PLLCGroup PAC ID 7517385388, 33 clinicians
Associated Clinicians of East TexasGroup PAC ID 4789957440, 106 clinicians

Practice addresses (Care Compare)

Orange, TX 77630
Phone (985) 892-7070

1600 S Henderson Blvd
Kilgore, TX 75662-3518
Phone (903) 758-1818

201 Rue Beauregard
Suite 202
Lafayette, LA 70508-3251
Phone (972) 833-4573

2151 Airline Dr
Suite 600
Bossier City, LA 71111-3397
Phone (318) 409-0119

2901 4TH St
Longview, TX 75605-5128
Phone (769) 243-6141

301 E State Hwy 243
Canton, TX 75103-2418
Phone (903) 567-4692

515 N 3Rd St
Longview, TX 75601-6546
Phone (769) 243-6141

5803 Stoneridge Dr
Texarkana, TX 75503-1461
Phone (903) 278-5747

805 Medical Cir
Longview, TX 75605-5130
Phone (903) 232-8100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carebridge Medteam, LLC Multi-Specialty CurrentSince Oct 1, 2024 Accepting new patients
Healthcare Plus Limited Liability Company Multi-Specialty CurrentSince Nov 10, 2023 Accepting new patients
Advancing at Home Health Care LLC Current Accepting new patients
Pallicare, Inc Multi-Specialty CurrentSince Nov 6, 2023 Accepting new patients
Ut East Texas Urgent Care Centers, PLLC Multi-Specialty CurrentSince Sep 20, 2025 Accepting new patients
QV Urgent Care TX PLLC Multi-Specialty CurrentSince Feb 7, 2022 Accepting new patients
Wound Care Associates LLC Multi-Specialty CurrentSince Oct 22, 2025 Accepting new patients
QV Urgent Care TX PLLC CurrentSince Feb 7, 2022 Accepting new patients
Associated Clinicians of East Texas Multi-Specialty CurrentSince Feb 19, 2024 Accepting new patients
Wound Management Specialists, LLC Multi-Specialty CurrentSince Feb 14, 2022 Accepting new patients

Locations

2151 Airline Dr
Ste 600
Bossier City, LA 71111
Phone (318) 409-0119

16065 Lamonte Dr
Hammond, LA 70403
Phone (855) 432-5328

201 Rue Beauregard
Ste 202
Lafayette, LA 70508
Phone (309) 665-0206

1801 Fairfield Ave
Ste 408
Shreveport, LA 71101
Phone (318) 675-1322

434 Katherine Dr
Flowood, MS 39232
Phone (769) 216-3346

778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620

301 E State Highway 243
Ste 121
Canton, TX 75103
Phone (903) 567-4692

1600 US Highway 79 S
Henderson, TX 75654
Phone (903) 657-9571

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

515 N 3rd St
Longview, TX 75601
Phone (903) 215-3149

707 Hollybrook Dr
Ste 500
Longview, TX 75605
Phone (903) 232-8276

805 Medical Cir
Longview, TX 75605
Phone (903) 232-8100

1008 Green Ave
Ofc B
Orange, TX 77630
Phone (409) 204-4882

Interoperability endpoints

  • Direct secure messaging: tiffany.tyeskie.1@26850.direct.athenahealth.com
  • Direct secure messaging: ttyeskie914357@ahs.direct-ci.com

Organizations & group practices 10

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 3

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": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1437803715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N FREDONIA ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756017222",
            "telephone_number": "903-215-3149",
            "fax_number": "903-367-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N FREDONIA ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756017222",
            "telephone_number": "903-215-3149",
            "fax_number": "903-367-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYESKIE",
        "first_name": "TIFFANY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1069617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.