Individual provider Active NPI

Tiffany Lyn Jeffs, DNP, FNP-BC, FNP-C

  • Nurse Practitioner
  • Castle Dale, UT
National Provider Identifier
1487335402
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4738235-8900 Issued in UT
Practice address
90 W Main St
Castle Dale, UT 84513-4527
Phone
(435) 381-2305
NPI assigned
Jul 31, 2023
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4738235-8900 UT Primary

Addresses

Primary practice location

90 W Main St
Castle Dale, UT 84513-4527

Mailing address

90 W Main St
Castle Dale, UT 84513-4527
Phone (435) 381-2305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20230905003885 UT Practitioner - Nurse Practitioner 6507229739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Castleview Hospital LLCGroup PAC ID 9032021043, 5 clinicians

Practice addresses (Care Compare)

90 W Main St
Castledale, UT 84513-0607
Phone (435) 381-2305

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4738235-8900UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Castleview Hospital, LLC CurrentSince Sep 1, 2023 Accepting new patients
Castleview Hospital, LLC Current Accepting new patients

Locations

300 N Hospital Dr
Price, UT 84501
Phone (435) 636-4836

Interoperability endpoints

  • Direct secure messaging: tiffany.jeffs.1@19848.direct.athenahealth.com

Organizations & group practices 2

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 2

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": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1487335402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 W MAIN ST",
            "city": "CASTLE DALE",
            "state": "UT",
            "postal_code": "845134527",
            "telephone_number": "435-381-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 W MAIN ST",
            "city": "CASTLE DALE",
            "state": "UT",
            "postal_code": "845134527",
            "telephone_number": "435-381-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFS",
        "first_name": "TIFFANY",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "DNP, FNP-BC, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "4738235-8900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Dale, UT

Sources for this page

Verify at the official NPI Registry.