Tiffany Caudill, APRN
Individual provider Active NPI Family Nurse Practitioner · Powderly, KY
NPI 1508523796 · NPPES record last updated Sep 6, 2023
Key facts
- NPI
- 1508523796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3016800 (KY)
- Practice address
- 1010 Medical Center Dr
Powderly, KY 42367-5463 - Phone
- (270) 377-1600
- NPI assigned
- Nov 22, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Health Medical Group Inc
Baptist Health Deaconess Medical Group Inc
Practice addresses (Care Compare)
1010 Medical Ctr Dr
Powderly, KY 42367-5463
Phone (270) 377-1600
Hospital & facility affiliations
- Baptist Health Deaconess Health at Home
- Baptist Health Deaconess Madisonville
- Owensboro Health Muhlenberg Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230928001182 | KY | Practitioner - Nurse Practitioner | 7113371840 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3016800 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Deaconess Medical Group Inc | Family | Current |
Accepting new patients |
| Baptist Health Deaconess Medical Group Inc | Family | Current |
Accepting new patients |
| E.D. Mills, PLLC | Family | Past |
Accepting new patients |
| Brian M Payne Aprn PSC | Family | Past |
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
- https://api.platform.athenahealth.com/20445/brand/1/csg/1/fhir/r4
- tcaudill256515@direct.deaconess.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3016800 | KY | Yes |
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
Other providers in Powderly, KY
- Brittany Blue
- Joseph R Boggess
- Cathy Elaine Browning
- William I Browning
- Marty D Casebier
- Brian Wayne Chaney
- Kristy G Chappell
- Coats Family Eye Care PLLC
- Dr Warner Wang PSC
- Stephen D Dukes
All providers in Powderly, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.