Active NPI
Tiffany Smith Roy, N.P.
- Family Nurse Practitioner
- Duson, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP04568
- Practice address
- 110 W. First St
Suite a
Duson, LA 70529 - Phone
- (337) 873-8244
- Fax
- (337) 873-8274
- NPI assigned
- Dec 13, 2007
- Last updated
- Jul 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP04568 | LA | Primary |
Addresses
Primary practice location
110 W. First St
Suite a
Duson, LA 70529
Mailing address
PO Box 370
Duson, LA 70529-0370
Phone (337) 873-8244
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1592919 | Medicaid | LA | |
| 3A809DF41 | Other | LA | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
PO Box
Suite 370
Duson, LA 70529
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP04568 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tiffany Roy FNP LLC | Current | Accepting new patients | |
| Tiffany Roy, FNP, L.L.C. | Current | Accepting new patients |
Interoperability endpoints
- tiffany.roy.1@3274.direct.athenahealth.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Duson Family Healthcare | Rural health clinic | 5% Or Greater Direct Ownership Interest Corporate Officer (100%) |
Sep 19, 2008 Apr 25, 2013 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Duson Family Healthcare
- Rural Health Clinic/Center
- Duson, LA
- NPI 1376986257
5% Or Greater Direct Ownership Interest, Corporate Officer
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.
-
dba Duson Family Healthcare
- Primary Care Clinic/Center
- Duson, LA
- NPI 1699930719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1568645430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 370",
"city": "DUSON",
"state": "LA",
"postal_code": "705290370",
"telephone_number": "337-873-8244",
"fax_number": "337-873-8274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W. FIRST ST",
"address_2": "SUITE A",
"city": "DUSON",
"state": "LA",
"postal_code": "70529",
"telephone_number": "337-873-8244",
"fax_number": "337-873-8274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "TIFFANY",
"middle_name": "SMITH",
"name_prefix": "Mrs.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-13",
"last_updated": "2022-07-25",
"certification_date": "2022-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP04568",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1592919",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "3A809DF41",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Duson, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.