Individual provider Active NPI

Tiffany Nicole Michaux, ARNP

  • Family Nurse Practitioner
  • Palm Bay, FL
National Provider Identifier
1629448337
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9247370 Issued in FL
Practice address
5200 Babcock St NE Ste 101
Palm Bay, FL 32905-4639
Phone
(407) 716-8528
Fax
(407) 716-8528
NPI assigned
Oct 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN9247370 FL
Family Nurse Practitioner 363LF0000X ARNP9247370 FL Primary

Addresses

Primary practice location

5200 Babcock St NE Ste 101
Palm Bay, FL 32905-4639

Mailing address

5200 Babcock St NE Ste 101
Palm Bay, FL 32905-4639
Phone (407) 716-8528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250128001754 FL Order and Referring Only - Nurse Practitioner 2062713233

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9247370FLMDFamily Nurse Practitioner
APRN9247370FLMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1629448337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 BABCOCK ST NE STE 101",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054639",
            "telephone_number": "407-716-8528",
            "fax_number": "407-716-8528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 BABCOCK ST NE STE 101",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054639",
            "telephone_number": "407-716-8528",
            "fax_number": "407-716-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAUX",
        "first_name": "TIFFANY",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-07",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN9247370",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9247370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

Verify at the official NPI Registry.