Individual provider Active NPI

Tiffany Nichole Martin, NP

  • Family Nurse Practitioner
  • Frankfort, IN
National Provider Identifier
1578365102
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F01250022 Issued in IN
Practice address
2485 E Wabash St
Frankfort, IN 46041-9400
Phone
(765) 656-3905
Fax
(765) 656-3921
NPI assigned
Mar 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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 F01250022 IN Primary

Addresses

Primary practice location

2485 E Wabash St
Frankfort, IN 46041-9400

Mailing address

2485 E Wabash St
Frankfort, IN 46041-9400
Phone (765) 656-3905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20250927000501 IN Practitioner - Nurse Practitioner 2567967607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1716 Hartford St
Lafayette, IN 47904-2168

9425 Delegates Row
Indianapolis, IN 46240-3805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F01250022INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Riggs Community Health Center Inc CurrentSince Aug 18, 2025 Accepting new patients
Riggs Community Health Center Inc PastSince Aug 18, 2025 Accepting new patients

Locations

1324 Tippecanoe St
Lafayette, IN 47904
Phone (765) 742-1567

1716 Hartford St
Lafayette, IN 47904
Phone (765) 742-1567

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1578365102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 E WABASH ST",
            "city": "FRANKFORT",
            "state": "IN",
            "postal_code": "460419400",
            "telephone_number": "765-656-3905",
            "fax_number": "765-656-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 E WABASH ST",
            "city": "FRANKFORT",
            "state": "IN",
            "postal_code": "460419400",
            "telephone_number": "765-656-3905",
            "fax_number": "765-656-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TIFFANY",
        "middle_name": "NICHOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-25",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "F01250022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IN

Sources for this page

Verify at the official NPI Registry.