Individual provider Active NPI

Tiffany A Hughes, APRN, AGNP-C

  • Nurse Practitioner
  • Texarkana, TX
National Provider Identifier
1629575964
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP130470 Issued in TX
Practice address
5803 Stoneridge Dr
Texarkana, TX 75503-1461
Phone
(888) 725-5422
Fax
(903) 501-1100
NPI assigned
Apr 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP130470 TX Primary

Addresses

Primary practice location

5803 Stoneridge Dr
Texarkana, TX 75503-1461

Mailing address

5803 Stoneridge Dr
Texarkana, TX 75503-1461
Phone (888) 725-5422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY, AZ, OK, LA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20210630003779 TX Practitioner - Nurse Practitioner 8820499627 Reassigns benefits to 1 organization
I20231215002611 NY Practitioner - Nurse Practitioner 8820499627 Reassigns benefits to 1 organization
I20250114000782 AZ Practitioner - Nurse Practitioner 8820499627 Reassigns benefits to 1 organization
I20250919002313 OK Practitioner - Nurse Practitioner 8820499627 Reassigns benefits to 1 organization
I20260407000773 LA Practitioner - Nurse Practitioner 8820499627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Edward Timothy Okelley MD PCGroup PAC ID 8729437793, 11 clinicians
Pallicare, IncGroup PAC ID 8123429925, 85 clinicians

Practice addresses (Care Compare)

155 Crystal Run Rd
Middletown, NY 10941-4028
Phone (888) 725-5422

201 Rue Beauregard
Suite 202
Lafayette, LA 70508-3251
Phone (972) 833-4573

2111 E Highland Ave
Suite B426
Phoenix, AZ 85016-4741
Phone (972) 833-4573

2760 Washington Dr
Suite 100
Norman, OK 73069-1009
Phone (972) 833-4573

5803 Stoneridge Dr
Texarkana, TX 75503-1461
Phone (903) 278-5747

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
311385NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pallicare, Inc CurrentSince Jun 10, 2021 Accepting new patients
Edward Timothy Okelley MD PC CurrentSince Dec 1, 2023 Accepting new patients
Alpha Hospice, LLC PastSince Aug 1, 2025 Accepting new patients

Locations

2111 E Highland Ave
Phoenix, AZ 85016
Phone (520) 333-7334

2111 E Highland Ave
Ste B426
Phoenix, AZ 85016
Phone (972) 833-4573

201 Rue Beauregard
Ste 202
Lafayette, LA 70508
Phone (309) 665-0206

155 Crystal Run Rd
Middletown, NY 10941

2760 Washington Dr
Ste 100
Norman, OK 73069
Phone (405) 928-9885

610 N Loop 336 E
Conroe, TX 77301
Phone (281) 742-1142

Interoperability endpoints

  • Direct secure messaging: ladonna.atkins.1@26850.direct.athenahealth.com
  • Direct secure messaging: hayley.powell.1@26850.direct.athenahealth.com
  • Direct secure messaging: jo.lowndes.1@26850.direct.athenahealth.com
  • Direct secure messaging: krystal.garrett.1@26850.direct.athenahealth.com
  • Direct secure messaging: lauren.baze.1@26850.direct.athenahealth.com
  • Direct secure messaging: monica.morton.1@26850.direct.athenahealth.com
  • Direct secure messaging: shayla.rowley.1@26850.direct.athenahealth.com
  • Direct secure messaging: jessica.moore.1@26850.direct.athenahealth.com
  • Direct secure messaging: krista.merritt.1@26850.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1629575964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5803 STONERIDGE DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031461",
            "telephone_number": "888-725-5422",
            "fax_number": "903-501-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5803 STONERIDGE DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031461",
            "telephone_number": "888-725-5422",
            "fax_number": "903-501-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "TIFFANY",
        "middle_name": "A",
        "credential": "APRN, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP130470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.