Active NPI
Tiffaney M Moore, CNP
- Family Nurse Practitioner
- Parma, OH
National Provider Identifier
1609418946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 024621
- Practice address
- 12380 Plaza Dr
Parma, OH 44130-1043 - Phone
- (216) 898-8488
- Fax
- (216) 362-0677
- NPI assigned
- Oct 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 024621 | OH | Primary |
Addresses
Primary practice location
12380 Plaza Dr
Parma, OH 44130-1043
Mailing address
12380 Plaza Dr
Parma, OH 44130-1043
Phone (216) 898-8488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12380 Plaza Dr
Parma, OH 44130-1043
Phone (216) 898-8488
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024621 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stafford Services, Inc. | Multi-Specialty | Current | Accepting new patients |
Locations
12380 Plaza Dr
Parma, OH 44130
Phone (216) 898-8444
12380 Plaza Dr
Ste 101
Parma, OH 44130
Phone (216) 898-8444
Organizations & group practices 1
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": "1570492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570492800000",
"number": "1609418946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12380 PLAZA DR",
"city": "PARMA",
"state": "OH",
"postal_code": "441301043",
"telephone_number": "216-898-8488",
"fax_number": "216-362-0677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12380 PLAZA DR",
"city": "PARMA",
"state": "OH",
"postal_code": "441301043",
"telephone_number": "216-898-8488",
"fax_number": "216-362-0677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "TIFFANEY",
"middle_name": "M",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-08",
"last_updated": "2019-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "024621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parma, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.