Individual provider Active NPI

Tiffany Ludick, MSN, FNP

  • Family Nurse Practitioner
  • Lafayette, TN
National Provider Identifier
1699940973
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN120825 Issued in TN
Practice address
306 W Locust St
Lafayette, TN 37083-1713
Phone
(615) 688-7012
Fax
(615) 688-7014
NPI assigned
Apr 28, 2008
Last updated
Nov 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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 RN120825 TN Primary

Addresses

Primary practice location

306 W Locust St
Lafayette, TN 37083-1713

Mailing address

648 Hartsville Pike
Gallatin, TN 37066-2523
Phone (615) 451-9246

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tiffany.ludick@vipms.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20111117000552 TN Practitioner - Nurse Practitioner 9436323987 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN120825TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vip Midsouth, LLC CurrentSince Nov 18, 2011 Accepting new patients
Vip Midsouth, LLC CurrentSince Nov 18, 2011 Accepting new patients

Locations

648 Hartsville Pike
Gallatin, TN 37066
Phone (615) 451-9246

306 W Locust St
Lafayette, TN 37083
Phone (615) 688-7012

128 Raymond Hirsch Pkwy
Ste 1
White House, TN 37188
Phone (615) 672-8118

Interoperability endpoints

  • Direct secure messaging: tiffany.ludick@vipms.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1699940973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 HARTSVILLE PIKE",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662523",
            "telephone_number": "615-451-9246",
            "fax_number": "615-452-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W LOCUST ST",
            "city": "LAFAYETTE",
            "state": "TN",
            "postal_code": "370831713",
            "telephone_number": "615-688-7012",
            "fax_number": "615-688-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDICK",
        "first_name": "TIFFANY",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "RN120825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tiffany.ludick@vipms.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "306 W Locust St",
            "city": "Lafayette",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370831713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, TN

Sources for this page

Verify at the official NPI Registry.