Tiffinie Hazen, ARNP FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5383059051 Issued in KS

Practice address

811 Liberty St
Ottawa, KS 66067-3167

Phone

(785) 418-4755

NPI assigned

Apr 1, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ottawa Family Physicians, CharteredGroup PAC ID 7416900113, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Ottawa Family Physicians, Chartered

  • Family Medicine Physician
  • Ottawa, KS
  • NPI 1477598837
  Medicare reassignment Care Compare group NPD
• Caremed Health Solutions of Kansas LLC

  • Wound Care Registered Nurse
  • Shawnee, KS
  • NPI 1649989138
  Medicare reassignment NPD
• Signify Health Medical Associates of Kansas LLC

  • Multi-Specialty Clinic/Center
  • Wichita, KS
  • NPI 1780261701
  Medicare reassignment NPD
• Ottawa Family Physicians, Chartered

  • Family Medicine Physician
  • Ottawa, KS
  • NPI 1023558541
  NPD

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1780435115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 LIBERTY ST",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660673167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 LIBERTY ST",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660673167",
            "telephone_number": "785-418-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZEN",
        "first_name": "TIFFINIE",
        "credential": "ARNP FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "5383059051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gentry Harding, CPNP
• Laura Hardy, PHARM.D.
• Dana Lynn Harrod, OTR/L
• Samantha Taylor Hart, APRN
• Rebecca Hastings, RN
• Health Partnership Clinic, Inc
• Heartland Pulmonary & Internal Medicine, PA
• Gwyn F Heidrick, LMSW
• Linda Mae Herrick, R
• Michael J Hiatt, DC

• Nurse Practitioner in Ottawa, KS
• Providers in Ottawa, KS by specialty
• Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.

Verify at the official NPI Registry.