Tiffany Paige Holcomb, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A005418 Issued in AR

Practice address

9146 Highway 63 N
Bono, AR 72416-8153

Phone

(870) 930-9990

NPI assigned

Dec 18, 2017

Last updated

Jan 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Tiffany Paige Holcomb Professional name

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nea Reliant Health Care Professionals IncGroup PAC ID 0244530095, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lawrence Memorial Hospital Hospital, Walnut Ridge, AR, CCN 041309

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12230/brand/1/csg/1/fhir/r4

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.

• Nea Reliant Health Care Professionals Inc

  dba Bono Family Medical Clinic and Therapy Services

  • Family Nurse Practitioner
  • Bono, AR
  • NPI 1467829804
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lawrence Memorial Health Foundation Inc.

  dba Lawrence Memorial Hospital

  • Critical Access Hospital
  • Walnut Ridge, AR
  • NPI 1194724658
  Care Compare affiliation

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1497261093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9146 HIGHWAY 63 N",
            "city": "BONO",
            "state": "AR",
            "postal_code": "724168153",
            "telephone_number": "870-930-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9146 HIGHWAY 63 N",
            "city": "BONO",
            "state": "AR",
            "postal_code": "724168153",
            "telephone_number": "870-930-9990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1045 W Main St Ste C",
            "address_purpose": "LOCATION",
            "city": "Walnut Ridge",
            "state": "AR",
            "postal_code": "724761004",
            "country_code": "US",
            "telephone_number": "870-886-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLCOMB",
        "first_name": "TIFFANY",
        "middle_name": "PAIGE",
        "name_prefix": "Ms.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-18",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "HOLCOMB",
            "middle_name": "PAIGE",
            "prefix": "MS.",
            "credential": "APRN, FNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Kristy D. Johnson, NP-C
• Gaylon Jones
• Jonesboro Pediatric Therapy, Inc.

• Family Nurse Practitioner in Bono, AR
• Providers in Bono, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.

Verify at the official NPI Registry.