Active NPI
Tiffany Smiley, MSN, FNP-BC
- Family Nurse Practitioner
- Gary, IN
National Provider Identifier
1629399506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71003278A
- Practice address
- 215 Broadway
Ms HB-1
Gary, IN 46402-1221 - Phone
- (219) 888-4221
- Fax
- (219) 888-5022
- NPI assigned
- Jun 15, 2010
- 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 | 71003278A | IN | Primary |
Addresses
Primary practice location
215 Broadway
Ms HB-1
Gary, IN 46402-1221
Mailing address
215 Broadway
Ms HB-1
Gary, IN 46402-1221
Phone (219) 888-4221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71003278A | IN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397433600000",
"number": "1629399506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 BROADWAY",
"address_2": "MS HB-1",
"city": "GARY",
"state": "IN",
"postal_code": "464021221",
"telephone_number": "219-888-4221",
"fax_number": "219-888-5022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 BROADWAY",
"address_2": "MS HB-1",
"city": "GARY",
"state": "IN",
"postal_code": "464021221",
"telephone_number": "219-888-4221",
"fax_number": "219-888-5022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMILEY",
"first_name": "TIFFANY",
"name_prefix": "Mrs.",
"credential": "MSN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-15",
"last_updated": "2014-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71003278A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gary, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.