NPIMap

Individual provider Active NPI

Tiffany Whigham, CRNP

  • Acute Care Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1588920862
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP126449 Issued in TX
Practice address
1317 Lake Pointe Pkwy
Sugar Land, TX 77478-3997
Phone
(281) 637-7058
NPI assigned
Apr 11, 2012
Last updated
Oct 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-107769 AL
Acute Care Nurse Practitioner 363LA2100X AP126449 TX Primary

Addresses

Primary practice location

1317 Lake Pointe Pkwy
Sugar Land, TX 77478-3997

Mailing address

1317 Lake Pointe Pkwy
Sugar Land, TX 77478-3997
Phone (281) 637-7058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170807000456 TX Practitioner - Nurse Practitioner 6204091275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hermann Medical GroupGroup PAC ID 7012008360, 760 clinicians

Practice addresses (Care Compare)

17500 W Grand Pkwy S
Sugar Land, TX 77479-2562
Phone (281) 725-5026

17520 W Grand Pkwy S
Suite 350
Sugar Land, TX 77479-4760
Phone (281) 725-5970

1801 N Loop W
Suite 30
Houston, TX 77008-1445
Phone (713) 802-9781

7737 Southwest Fwy
Suite 700
Houston, TX 77074-1820
Phone (713) 272-1600

915 Gessner Rd
Suite 100
Houston, TX 77024-2537
Phone (713) 242-2222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP126449TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Medical Group CurrentSince Sep 3, 2017 Accepting new patients
Memorial Hermann Medical Group CurrentSince Sep 3, 2017 Accepting new patients
Cardiology Associates of Mobile Inc Past Accepting new patients

Locations

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

7737 Southwest Fwy
Ste 700
Houston, TX 77074
Phone (713) 272-1600

909 Frostwood Dr
Ste 1100
Houston, TX 77024
Phone (713) 338-4523

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

17520 W Grand Pkwy S
Ste 350
Sugar Land, TX 77479
Phone (281) 725-5970

Interoperability endpoints

  • Direct secure messaging: twhigham67059@memorialhermann.direct-ci.com

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.

Hospital & facility affiliations 7

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": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1588920862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 LAKE POINTE PKWY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783997",
            "telephone_number": "281-637-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 LAKE POINTE PKWY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783997",
            "telephone_number": "281-637-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHIGHAM",
        "first_name": "TIFFANY",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-11",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-107769",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP126449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.