Individual provider Active NPI

Tiffany Joco, AGACNP

  • Acute Care Nurse Practitioner
  • Mansfield, TX
National Provider Identifier
1780153775
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP138439 Issued in TX
Practice address
2800 E Broad St Ste 318
Mansfield, TX 76063-6413
Phone
(817) 779-3178
Fax
(844) 292-1460
NPI assigned
Nov 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP138439 TX Primary

Addresses

Primary practice location

2800 E Broad St Ste 318
Mansfield, TX 76063-6413

Mailing address

2800 E Broad St Ste 318
Mansfield, TX 76063-6413
Phone (817) 779-3178

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tjoco497746@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190117003679 TX Practitioner - Nurse Practitioner 2668718206 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heartplace PLLCGroup PAC ID 2769386473, 90 clinicians

Practice addresses (Care Compare)

2800 E Broad St
Suite 318
Mansfield, TX 76063-6413
Phone (817) 779-3178

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP138439TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Current Accepting new patients
Healthtexas Provider Network CurrentSince Jun 17, 2019 Accepting new patients
Healthtexas Provider Network CurrentSince Jun 17, 2019 Accepting new patients

Locations

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

621 N Hall St
Ste 500
Dallas, TX 75226
Phone (214) 841-2000

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • Direct secure messaging: tiffany.joco@ushv.eclinicaldirectplus.com
  • Direct secure messaging: tiffany.joco.1@14273.direct.athenahealth.com
  • Direct secure messaging: tjoco497746@direct.sw.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1780153775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E BROAD ST STE 318",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636413",
            "telephone_number": "817-779-3178",
            "fax_number": "844-292-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E BROAD ST STE 318",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636413",
            "telephone_number": "817-779-3178",
            "fax_number": "844-292-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOCO",
        "first_name": "TIFFANY",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-19",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP138439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tjoco497746@direct.sw.org",
            "affiliation": "N",
            "address_1": "621 N Hall St Ste 500",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752261301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.