Individual provider Active NPI

Tiffany L. Harris, CNM

  • Midwife
  • Portsmouth, OH
National Provider Identifier
1639176753
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
NM07983 Issued in OH
Practice address
1729 27TH St
Portsmouth, OH 45662-2638
Phone
(740) 354-1434
Fax
(740) 356-1261
NPI assigned
Jul 5, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X NM07983 OH Primary

Addresses

Primary practice location

1729 27TH St
Portsmouth, OH 45662-2638

Mailing address

1735 27TH St Ste B06
Portsmouth, OH 45662-2681
Phone (740) 356-8681

Other identifiers 2

IdentifierTypeStateIssuer
7100084750MedicaidKY
2621676MedicaidOH

Other names 1

  • Tiffany L. Wells - Harris Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tiffany.harris@somc.medicity.net

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050823000006 OH Practitioner - Certified Nurse Midwife (CNM) 4981635760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
University of Cincinnati College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1248 Kinneys LN
Portsmouth, OH 45662-2927
Phone (740) 356-7290

1729 27TH St
Portsmouth, OH 45662-2638
Phone (740) 354-1435

1805 27TH St
Portsmouth, OH 45662-2640
Phone (740) 356-8117

835 W Emmitt Ave
Waverly, OH 45690-1190
Phone (740) 947-7662

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.59 of 100Reported as group
Quality
59.57
Promoting interoperability
100
Improvement activities
40
Cost
71.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
NM07983OHMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Somc Medical Care Foundation, Inc. CurrentSince Mar 31, 2018 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince Mar 31, 2018 Accepting new patients

Locations

1729 27th St
#G
Portsmouth, OH 45662
Phone (740) 354-1434

1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

1729 27th St
Bldg G
Portsmouth, OH 45662
Phone (740) 354-1434

1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131

1729 27th St
Portsmouth, OH 45662
Phone (740) 354-1434

835 W Emmitt Ave
Waverly, OH 45690
Phone (740) 356-5944

Interoperability endpoints

  • Direct secure messaging: harristi@somc.gwaydirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1639176753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 27TH ST STE B06",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622681",
            "telephone_number": "740-356-8681",
            "fax_number": "740-353-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 27TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622638",
            "telephone_number": "740-354-1434",
            "fax_number": "740-356-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TIFFANY",
        "middle_name": "L.",
        "name_prefix": "Miss",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "OH",
            "license": "NM07983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100084750",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2621676",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tiffany.harris@somc.medicity.net",
            "affiliation": "N",
            "address_1": "1729 27th St",
            "city": "Portsmouth",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456622638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "WELLS - HARRIS",
            "middle_name": "L.",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.