Individual provider Active NPI

Tiffany Smiley, FNP-C

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1679137541
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11000328 Issued in FL
Practice address
3000 Medical Park Dr Ste 490
Tampa, FL 33613-6600
Phone
(813) 971-2470
Fax
(813) 971-2491
NPI assigned
Apr 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11000328 FL Primary

Addresses

Primary practice location

3000 Medical Park Dr Ste 490
Tampa, FL 33613-6600

Mailing address

13438 Fort King Rd
Dade City, FL 33525-5214
Phone (352) 567-5266

Other practice location 1

4316 US Highway 98 N Ste 100
Lakeland, FL 33809-3859
Phone (863) 853-7822

Other practice location 2

13438 Fort King Rd
Dade City, FL 33525-5214
Phone (352) 567-5266

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
I20190904002709 FL Practitioner - Nurse Practitioner 5799014551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Practice addresses (Care Compare)

13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260

3000 Medical Park Dr
Suite 320
Tampa, FL 33613-4681
Phone (813) 910-0027

Hospital & facility affiliations

  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11000328FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc Family CurrentSince May 22, 2023 Accepting new patients
University Community Hospital, Inc PastSince Apr 6, 2023 Accepting new patients

Locations

3000 Medical Park Dr
Ste 490
Tampa, FL 33613
Phone (813) 615-7306

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: tsmiley1225155@adventhealth.direct-ci.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 2

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": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1679137541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13438 FORT KING RD",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335255214",
            "telephone_number": "352-567-5266",
            "fax_number": "352-567-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MEDICAL PARK DR STE 490",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336136600",
            "telephone_number": "813-971-2470",
            "fax_number": "813-971-2491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4316 US Highway 98 N Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338093859",
            "country_code": "US",
            "telephone_number": "863-853-7822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13438 Fort King Rd",
            "address_purpose": "LOCATION",
            "city": "Dade City",
            "state": "FL",
            "postal_code": "335255214",
            "country_code": "US",
            "telephone_number": "352-567-5266",
            "fax_number": "352-567-3066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMILEY",
        "first_name": "TIFFANY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-26",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.