Active NPI
Tiffany Nicole Charney, CPNP-AC/PC
- Pediatric Nurse Practitioner
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 11013729
- Practice address
- 4951 Grande Dr
Pensacola, FL 32504-8965 - Phone
- (850) 473-0100
- Fax
- (850) 473-0500
- NPI assigned
- Sep 17, 2015
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 113163 | NE | |
| Pediatric Nurse Practitioner | 363LP0200X | 5007990 | NC | |
| Pediatric Nurse Practitioner | 363LP0200X | 11013729 | FL | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | 3-000676 | AL |
Addresses
Primary practice location
4951 Grande Dr
Pensacola, FL 32504-8965
Mailing address
4951 Grande Dr
Pensacola, FL 32504-8965
Phone (850) 473-0100
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10140 Centurion Pkwy N
Jacksonville, FL 32256-0532
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11013729 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| Kids Care Pediatrics PA | Nurse Practitioner | Past | Accepting new patients |
Locations
807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600
164 NW Madison St
Spc Care
Lake City, FL 32055
Phone (386) 758-1811
83 Columbia St
Orlando, FL 32806
Phone (321) 843-3220
8331 N Davis Hwy
Spc Care
Pensacola, FL 32514
Phone (850) 505-4700
8331 N Davis Hwy
Pensacola, FL 32514
Phone (850) 505-4700
Interoperability endpoints
- tcharney144923@direct.nemours.org
- tiffanycharney@kidscarepe.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1386658615
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
-
- Children's Hospital
- Wilmington, DE
- NPI 1467505073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737590400000",
"number": "1679942890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4951 GRANDE DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048965",
"telephone_number": "850-473-0100",
"fax_number": "850-473-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4951 GRANDE DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048965",
"telephone_number": "850-473-0100",
"fax_number": "850-473-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARNEY",
"first_name": "TIFFANY",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "CPNP-AC/PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-17",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NE",
"license": "113163",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NC",
"license": "5007990",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "11013729",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AL",
"license": "3-000676",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.