Individual provider Active NPI

Tiffany J Geiger, APNP

  • Gerontology Nurse Practitioner
  • Cedarburg, WI
National Provider Identifier
1578324281
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
14946 Issued in WI
Practice address
W63N545 Hanover Ave
Cedarburg, WI 53012-1917
Phone
(262) 421-5133
Fax
(262) 735-0723
NPI assigned
Jan 19, 2024
Last updated
Jan 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 14946 WI Primary

Addresses

Primary practice location

W63N545 Hanover Ave
Cedarburg, WI 53012-1917

Mailing address

W63N545 Hanover Ave
Cedarburg, WI 53012-1917
Phone (262) 421-5133

Other practice location 1

4423 Golf Ter Ste A
Eau Claire, WI 54701-4902
Phone (262) 421-5133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14946WIMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lily Hospice LLC Current Accepting new patients
Lily Hospice LLC Current Accepting new patients
Lily Home and Hospice PastSince Jul 9, 2023 Accepting new patients

Locations

15430 W Capitol Dr
Ste 100
Brookfield, WI 53005
Phone (262) 235-3115

W63N545 Hanover Ave
Cedarburg, WI 53012
Phone (262) 421-5133

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1578324281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W63N545 HANOVER AVE",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530121917",
            "telephone_number": "262-421-5133",
            "fax_number": "262-735-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W63N545 HANOVER AVE",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530121917",
            "telephone_number": "262-421-5133",
            "fax_number": "262-735-0723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4423 Golf Ter Ste A",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547014902",
            "country_code": "US",
            "telephone_number": "262-421-5133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEIGER",
        "first_name": "TIFFANY",
        "middle_name": "J",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WI",
            "license": "14946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarburg, WI

Sources for this page

Verify at the official NPI Registry.