Active NPI
Tiffany Mae Whiteside, CRNP
- Family Nurse Practitioner
- Rogersville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1151911
- Practice address
- 16053 Highway 72
Rogersville, AL 35652-8141 - Phone
- (256) 262-6060
- Fax
- (256) 247-7018
- NPI assigned
- Sep 3, 2021
- 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 | 1151911 | AL | Primary |
Addresses
Primary practice location
16053 Highway 72
Rogersville, AL 35652-8141
Mailing address
16053 Highway 72
Rogersville, AL 35652-8141
Phone (256) 262-6060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 286698 | Medicaid | AL |
Other names 1
- Tiffany Mae Romine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- 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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11185 Hwy 31
Tanner, AL 35671-3576
Phone (256) 216-9658
15024 E Limestone Rd
Suite F
Harvest, AL 35749-7264
Phone (256) 216-1966
16053 Hwy 72
Rogersville, AL 35652-8141
Phone (256) 247-0093
Hospital & facility affiliations
- Centerwell Home Health
- Athens Limestone Hospital
- North Alabama Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1151911 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Leaf Medical Clinic, LLC | Family | Current | Accepting new patients |
| Tanner Community Care | Current | Accepting new patients | |
| Rogersville Family Care | Current | Accepting new patients | |
| Capshaw Family Care | Current | Accepting new patients | |
| Avalon Medical Group | Current | Accepting new patients | |
| Charles Anthony Gaputis | Past | Accepting new patients | |
| Lister Healthcare Corporation | Past | Accepting new patients |
Locations
710 W Hobbs St
Athens, AL 35611
Phone (256) 262-6380
15024 E Limestone Rd
Ste F
Harvest, AL 35749
Phone (256) 216-1966
2410 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 386-0808
16053 Highway 72
Rogersville, AL 35652
Phone (256) 247-0093
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Harvest, AL
- NPI 1104260256
-
- Family Medicine Physician
- Rogersville, AL
- NPI 1801221700
-
- Family Medicine Physician
- Tanner, AL
- NPI 1134791668
-
- Family Nurse Practitioner
- Athens, AL
- NPI 1841813631
-
- Internal Medicine Physician
- Muscle Shoals, AL
- NPI 1659139772
-
- Family Medicine Physician
- Rogersville, AL
- NPI 1457506578
-
- Family Medicine Physician
- Muscle Shoals, AL
- NPI 1437981172
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Athens, AL
- NPI 1144695081
-
- Home Health Agency
- Moulton, AL
- NPI 1376572081
-
- General Acute Care Hospital
- Florence, AL
- NPI 1477874337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1639847650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16053 HIGHWAY 72",
"city": "ROGERSVILLE",
"state": "AL",
"postal_code": "356528141",
"telephone_number": "256-262-6060",
"fax_number": "256-247-7018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16053 HIGHWAY 72",
"city": "ROGERSVILLE",
"state": "AL",
"postal_code": "356528141",
"telephone_number": "256-262-6060",
"fax_number": "256-247-7018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITESIDE",
"first_name": "TIFFANY",
"middle_name": "MAE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-03",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1151911",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "286698",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TIFFANY",
"last_name": "ROMINE",
"middle_name": "MAE",
"credential": "CRNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rogersville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.