Individual provider Active NPI

Tiffany Caudill, APRN

  • Family Nurse Practitioner
  • Powderly, KY
National Provider Identifier
1508523796
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016800 Issued in KY
Practice address
1010 Medical Center Dr
Powderly, KY 42367-5463
Phone
(270) 377-1600
NPI assigned
Nov 22, 2021
Last updated
Sep 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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 3016800 KY Primary

Addresses

Primary practice location

1010 Medical Center Dr
Powderly, KY 42367-5463

Mailing address

1517 Baker Rd
Bremen, KY 42325-2853
Phone (270) 635-5061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20230928001182 KY Practitioner - Nurse Practitioner 7113371840 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
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians

Practice addresses (Care Compare)

1010 Medical Ctr Dr
Powderly, KY 42367-5463
Phone (270) 377-1600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3016800KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Deaconess Medical Group Inc Family CurrentSince Sep 1, 2023 Accepting new patients
Baptist Health Deaconess Medical Group Inc Family CurrentSince Sep 1, 2023 Accepting new patients
Brian M Payne Aprn PSC Family PastSince Nov 1, 2021 Accepting new patients
E.D. Mills, PLLC Family PastSince Nov 1, 2021 Accepting new patients

Locations

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900

1010 Medical Center Dr
Powderly, KY 42367
Phone (270) 338-8000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20445/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tcaudill256515@direct.deaconess.com

Organizations & group practices 4

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 4

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": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1508523796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 BAKER RD",
            "city": "BREMEN",
            "state": "KY",
            "postal_code": "423252853",
            "telephone_number": "270-635-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 MEDICAL CENTER DR",
            "city": "POWDERLY",
            "state": "KY",
            "postal_code": "423675463",
            "telephone_number": "270-377-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUDILL",
        "first_name": "TIFFANY",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powderly, KY

Sources for this page

Verify at the official NPI Registry.