Individual provider Active NPI

Tiffany Ann Corl, NP-C

  • Family Nurse Practitioner
  • Winchester, VA
National Provider Identifier
1780135327
Registry record updated Nov 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024174057 Issued in VA
Practice address
125A Medical Cir
Winchester, VA 22601-3322
Phone
(540) 667-1828
NPI assigned
Oct 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2017

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 0024174057 VA Primary

Addresses

Primary practice location

125A Medical Cir
Winchester, VA 22601-3322

Mailing address

125A Medical Cir
Winchester, VA 22601-3322
Phone (540) 667-1828

Other names 1

  • Tiffany Ann Worthington Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20170210001803 VA Practitioner - Nurse Practitioner 1759664030 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024174057VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Neurological Consultants Inc CurrentSince Dec 19, 2017 Accepting new patients
Page Memorial Hospital Inc. CurrentSince Dec 19, 2016 Accepting new patients
Privia Medical Group, LLC CurrentSince May 24, 2018 Accepting new patients
Privia Medical Group, LLC CurrentSince May 24, 2018 Accepting new patients
Page Memorial Hospital, Inc. Current Accepting new patients
Page Memorial Hospital, Inc. Family CurrentSince Dec 19, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

135 Memorial Dr
Luray, VA 22835
Phone (540) 743-2887

8644 Sudley Rd
#220
Manassas, VA 20110

505 Williams Ave
Shenandoah, VA 22849
Phone (540) 652-9100

235 Medical Dr
Stanley, VA 22851
Phone (540) 778-3484

125A Medical Cir
Winchester, VA 22601
Phone (540) 450-0072

220 Campus Blvd
Ste 200
Winchester, VA 22601
Phone (540) 536-0307

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/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.

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1780135327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125A MEDICAL CIR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013322",
            "telephone_number": "540-667-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125A MEDICAL CIR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013322",
            "telephone_number": "540-667-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORL",
        "first_name": "TIFFANY",
        "middle_name": "ANN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "WORTHINGTON",
            "middle_name": "ANN",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.