Individual provider Active NPI

Tiffany Willyard, FNP-BC, APRN

  • Family Nurse Practitioner
  • Longmont, CO
National Provider Identifier
1487488805
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.1000104-NP Issued in CO
Practice address
220 E Rogers Rd
Longmont, CO 80501-6027
Phone
(303) 697-2583
NPI assigned
Aug 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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 APN.1000104-NP CO Primary

Addresses

Primary practice location

220 E Rogers Rd
Longmont, CO 80501-6027

Mailing address

220 E Rogers Rd
Longmont, CO 80501-6027
Phone (303) 697-2583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20241118001379 CO Practitioner - Nurse Practitioner 9638603392 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salud Family HealthGroup PAC ID 3173433398, 75 clinicians

Practice addresses (Care Compare)

220 E Rogers Rd
Longmont, CO 80501-6027
Phone (303) 776-3250

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.1000104-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Platte River Medical Clinic LLC Current Accepting new patients
Salud Family Health CurrentSince Jul 1, 2025 Accepting new patients
Advanced Urgent Care LLC CurrentSince Nov 4, 2024 Accepting new patients
Salud Family Health Current Accepting new patients
Salud Family Health Past Accepting new patients
Salud Family Health Past Accepting new patients
Salud Family Health Past Accepting new patients

Locations

2801 Purcell St
Brighton, CO 80601
Phone (303) 558-0515

6255 Quebec Pkwy
Commerce City, CO 80022
Phone (303) 286-8900

203 S Rollie Ave
Fort Lupton, CO 80621
Phone (303) 286-4560

5995 Iris Pkwy
Frederick, CO 80504
Phone (303) 833-2050

220 E Rogers Rd
Longmont, CO 80501
Phone (303) 776-3250

1050 W 104th Ave
Northglenn, CO 80234
Phone 3036599700 ext. 531

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4045/brand/3/csg/61/fhir/r4
  • Direct secure messaging: tiffany.willyard.1@4045.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1922/brand/1/csg/1/fhir/r4

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1487488805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E ROGERS RD",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016027",
            "telephone_number": "303-697-2583",
            "fax_number": "303-227-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E ROGERS RD",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016027",
            "telephone_number": "303-697-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLYARD",
        "first_name": "TIFFANY",
        "credential": "FNP-BC, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.1000104-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.