Active NPI
Tiffany Tyeskie, FNP-C
- Family Nurse Practitioner
- Longview, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1069617
- 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, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carebridge Medteam, LLC | Multi-Specialty | Current | Accepting new patients |
| Healthcare Plus Limited Liability Company | Multi-Specialty | Current | Accepting new patients |
| Advancing at Home Health Care LLC | Current | Accepting new patients | |
| Pallicare, Inc | Multi-Specialty | Current | Accepting new patients |
| Ut East Texas Urgent Care Centers, PLLC | Multi-Specialty | Current | Accepting new patients |
| QV Urgent Care TX PLLC | Multi-Specialty | Current | Accepting new patients |
| Wound Care Associates LLC | Multi-Specialty | Current | Accepting new patients |
| QV Urgent Care TX PLLC | Current | Accepting new patients | |
| Associated Clinicians of East Texas | Multi-Specialty | Current | Accepting new patients |
| Wound Management Specialists, LLC | Multi-Specialty | Current | 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
- tiffany.tyeskie.1@26850.direct.athenahealth.com
- 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.
-
dba Diagnostic Clinic of Longview
- Internal Medicine Physician
- Longview, TX
- NPI 1932640349
Multi-Specialty
-
- Urgent Care Clinic/Center
- Canton, TX
- NPI 1356974281
Multi-Specialty
-
dba MedCentris Specialty Group
- Specialist
- Hammond, LA
- NPI 1568793750
Multi-Specialty, TX
-
dba QuickVisit Urgent Care
- Family Medicine Physician
- Henderson, TX
- NPI 1568098887
Multi-Specialty
-
- Specialist
- Metairie, LA
- NPI 1063927465
Multi-Specialty, TX
-
dba Advancing at Home Health Care
- Home Health Agency
- Henderson, TX
- NPI 1316127806
-
dba QuickVisit Urgent Care
- Rural Health Clinic/Center
- Madisonville, TX
- NPI 1669198347
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Longview, TX
- NPI 1124092036
-
dba The Heights Hospital
- General Acute Care Hospital
- Houston, TX
- NPI 1801625934
-
dba White Rock Medical Center
- General Acute Care Hospital
- Dallas, TX
- NPI 1083112023
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.